Individual
JEFFREY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
404 SOUTH 400 WEST, SALT LAKE CITY, UT 84101
(801) 364-0058
Mailing address
404 SOUTH 400 WEST, SALT LAKE CITY, UT 84101
(801) 364-0058
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
5829029-3102
UT
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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