Individual
JILLIAN OLMSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 E 1300 S, SALT LAKE CITY, UT 84105-1949
(801) 456-4567
Mailing address
1216 E 1300 S, SALT LAKE CITY, UT 84105-1949
(801) 456-4567
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
HSCM-00155
UT
Other
Enumeration date
04/08/2024
Last updated
04/14/2024
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