Individual
JAIME ELIZABETH WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 814-4140
Mailing address
PO BOX 435, MENDON, UT 84325-0435
(801) 814-4140
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/21/2016
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