Individual
SANDRALEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 VALDEZ DR, SLC, UT 84113-1110
(208) 410-3125
Mailing address
440 S 500 E, SLC, UT 84102-2705
(208) 410-3125
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NONE
UT
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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