Individual
JESSICA ANN KANG MEZNARICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-3858
(801) 662-1000
Mailing address
100 N MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-3858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39
WA
Other
Enumeration date
05/11/2010
Last updated
11/22/2021
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