Individual
CAITLIN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7000
Mailing address
489 WILDERNESS DR, ALPINE, UT 84004-1402
(801) 750-3028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11027061-1206
UT
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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