Individual
CARINA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7611 S JORDAN LANDING BLVD, WEST JORDAN, UT 84084-5610
(801) 486-1616
Mailing address
7611 S JORDAN LANDING BLVD STE 103, WEST JORDAN, UT 84084-5625
(801) 486-1616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9804824-4409
UT
Other
Enumeration date
08/16/2020
Last updated
01/20/2021
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