Individual
MAYSIE JONES VAN LEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
870 E 9400 S STE 109, SANDY, UT 84094-3687
(385) 271-9720
(800) 455-1391
Mailing address
870 E 9400 S STE 109, SANDY, UT 84094-3687
(385) 271-9720
(800) 455-1391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/02/2025
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