Individual
JEFFREY HOWARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7340 S 2345 W, WEST JORDAN, UT 84084-3106
(385) 420-2546
Mailing address
7340 S 2345 W, WEST JORDAN, UT 84084-3106
(385) 420-2546
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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