Individual
DR. ROBERT JAY SHETLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9184 SHOSHONE LAKE DR, WEST JORDAN, UT 84088-5126
(801) 867-9714
Mailing address
9184 SHOSHONE LAKE DR, WEST JORDAN, UT 84088-6351
(801) 867-9714
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
3740151202
UT
Other
Enumeration date
10/18/2006
Last updated
02/12/2009
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