Individual
CANDICE JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1887 N AARON DR STE D, TOOELE, UT 84074-8138
(385) 602-4538
Mailing address
430 PARKWAY AVE, TOOELE, UT 84074-1838
(385) 602-4538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
279982
UT
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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