Individual
JARED VELLINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 562-1565
Mailing address
3065 W 5825 S, ROY, UT 84067-1132
(385) 519-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11758505-3102
UT
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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