Individual
JENNIFER HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
680 E MAIN ST STE 202, LEHI, UT 84043-2251
(801) 768-2755
Mailing address
680 E MAIN ST STE 202, LEHI, UT 84043-2251
(801) 768-2755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8466176-1206
UT
Other
Enumeration date
11/02/2006
Last updated
09/06/2013
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