Individual
MISS JENNIFER GONZALEZ-SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 S CLAYTON ST, SALT LAKE CITY, UT 84104-2920
(801) 915-3761
Mailing address
1428 S CLAYTON ST, SALT LAKE CITY, UT 84104-2920
(801) 915-3761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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