Individual
JALAL HARUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5347 S 2150 W, TAYLORSVILLE, UT 84129-1360
(385) 630-5678
Mailing address
5347 S 2150 W, TAYLORSVILLE, UT 84129-1360
(385) 630-5678
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
J62501265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J62501265
LICENSE
AZ
Enumeration date
09/26/2022
Last updated
09/26/2022
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