Individual
JOMARI CANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 W RIVER VIEW WAY APT A208, PROVO, UT 84604-1547
(385) 204-8619
Mailing address
440 W RIVER VIEW WAY APT A208, PROVO, UT 84604-1547
(385) 204-8619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13010110-3102
UT
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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