Individual
JASON H KUNISAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 587-7672
Mailing address
940 E 700 S APT 2, SALT LAKE CITY, UT 84102-3944
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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