Individual
JACOB WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 E FORT UNION BLVD, MIDVALE, UT 84047-1531
(801) 569-1995
Mailing address
1113 N 3000 E, LAYTON, UT 84040-3007
(760) 636-8846
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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