Individual
JESSICA MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 200 W, BOUNTIFUL, UT 84010-7249
(801) 397-7833
Mailing address
235 NAUTICAL DR, STANSBURY PARK, UT 84074-8175
(801) 870-0274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6674348-1701
UT
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
06/14/2026
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