Individual
JILL HEMINGWAY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 885-3300
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
206810-3102
UT
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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