Individual
BRET IRA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1647 S 1280 W, LOGAN, UT 84321-6867
(435) 512-6377
Mailing address
1647 S 1280 W, LOGAN, UT 84321-6867
(435) 512-6377
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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