Individual
MRS. JENESSA LITTLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1463 W 730 S, OREM, UT 84058-4947
(208) 201-6111
(801) 373-0639
Mailing address
1463 W 730 S, OREM, UT 84058-4947
(208) 201-6111
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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