Individual
JESSICA MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4643 S 4000 W, WEST VALLEY CITY, UT 84120-6233
(801) 968-1896
Mailing address
235 NAUTICAL DR, STANSBURY PARK, UT 84074-8175
(801) 870-0274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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