Individual
JESSICA RENE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
1069 NOB HILL AVE, AMERICAN FORK, UT 84003-1230
(801) 787-3557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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