Individual
NICOLE JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 E 840 S, OREM, UT 84058-5016
(801) 226-7696
(801) 225-7053
Mailing address
195 E 840 S, OREM, UT 84058-5016
(801) 226-7696
(801) 225-7053
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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