Individual
JIA PAN K. CHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Mailing address
1339 E COBBLE CREEK RD APT 19L, MURRAY, UT 84117-7453
(703) 380-1347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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