Individual
JOCELYN CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(621) 480-1964
Mailing address
3640 S 6800 W, WEST VALLEY CITY, UT 84128-3420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
11/11/2021
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