Individual
JAMIN RENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-7283
Mailing address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-7283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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