Individual
WADE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
7495 S STATE ST, MIDVALE, UT 84047-2013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5345439-3102
UT
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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