Individual
JESSICA PARENTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6562 S GRAYLINE CT, WEST JORDAN, UT 84081-5525
(385) 439-2204
Mailing address
6562 S GRAYLINE CT, WEST JORDAN, UT 84081-5525
(385) 439-2204
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
8898997-3102
UT
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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