Individual
IRELAND K JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 ORCHARD AVE, SOUTH OGDEN, UT 84403-3803
(801) 837-9887
Mailing address
4345 ORCHARD AVE, SOUTH OGDEN, UT 84403-3803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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