Individual
JENNY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18750 N 6750 E, MT PLEASANT, UT 84647-2309
(801) 375-4240
Mailing address
900 COLUMBIA LN, PROVO, UT 84604-1320
(801) 375-4240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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