Individual
JENNIFER PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
7132312-3102
UT
Other
Enumeration date
04/17/2017
Last updated
04/18/2017
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