Individual
JACOB C JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
2084 N. 1700 W., SUITE A, LAYTON, UT 84041
(801) 773-8644
Mailing address
2084 N. 1700 W., SUITE A, LAYTON, UT 84041
(801) 773-8644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11022394-1206
UT
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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