Individual
GIBRAN BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6921 S JORDAN VILLAGE RD, WEST JORDAN, UT 84084-1789
(801) 448-2218
Mailing address
6921 S JORDAN VILLAGE RD, WEST JORDAN, UT 84084-1789
(801) 448-2218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13252997-8002
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2019
Last updated
12/10/2024
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