Individual
JENNIFER R MOLDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3838 S 700 E, #200, SALT LAKE CITY, UT 84106-1466
(801) 261-4988
(801) 269-9427
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
282343-4406
UT
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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