Individual
JENNA LYNN HASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5284 S COMMERCE DR STE C134, MURRAY, UT 84107-5360
(801) 266-4643
Mailing address
5284 S COMMERCE DR STE C134, MURRAY, UT 84107-5360
(801) 266-4643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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