Individual
JASMINE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 W 940 N, PROVO, UT 84604-3301
(801) 357-7940
Mailing address
475 W 940 N, PROVO, UT 84604-3301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0075590
CO
Other
Enumeration date
03/19/2022
Last updated
07/25/2025
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