Individual
JILL MARSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094
(801) 209-6825
Mailing address
10271 S 1300 E PMB 125, SANDY, UT 84094-4078
(801) 244-8532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5275458-0142
UT
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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