Individual
EVAN TYLER FRANCIS JENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSW
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 737-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 737-0639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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