Individual
ESTEFANYA YURITZA JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 S 500 E, HEBER CITY, UT 84032-1918
(435) 654-3003
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(435) 654-3003
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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