Individual
MISS JAQUELINNE CANAS-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 S MAIN ST STE AND110, CENTERVILLE, UT 84014-1840
(801) 663-6006
Mailing address
5437 S 2450 W, ROY, UT 84067-6717
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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