Individual
JENNIFER LYNN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
461 S 400 E, SALT LAKE CITY, UT 84111-3302
(801) 539-8617
(801) 537-7238
Mailing address
167 S 1200 E, SALT LAKE CITY, UT 84102-1654
(801) 884-3012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63054381206
UT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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