Individual
RYAN JONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SLC, UT 84111-1700
(801) 322-4257
Mailing address
446 E WENDELL WAY, SALT LAKE CITY, UT 84115-4629
(801) 633-7360
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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