Individual
JESSICA TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
Mailing address
8906 UPPER LANDO LN, PARK CITY, UT 84098-5884
(801) 688-7516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7558498-3102
UT
Other
Enumeration date
05/26/2014
Last updated
05/26/2014
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