Individual
JAMIE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 WEST STATE ST, PLEASANT GROVE, UT 84062
(801) 785-9454
Mailing address
1344 WEST STATE ST, PLEASANT GROVE, UT 84062
(801) 785-9454
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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