Individual
JEELAN FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6256 W ANDERS RIDGE WAY, WEST VALLEY CITY, UT 84128-5624
(801) 635-0749
Mailing address
6256 W ANDERS RIDGE WAY, WEST VALLEY CITY, UT 84128-5624
(801) 635-0749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9816657-3102
UT
367A00000X
Advanced Practice Midwife
Primary
9816657-4405
UT
Other
Enumeration date
06/02/2020
Last updated
01/31/2022
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