Individual
MISS MARDIENE JEFFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 MEDICAL DR, 210, BOUNTIFUL, UT 84010-4968
(801) 296-5805
Mailing address
352 W 250 N, BOUNTIFUL, UT 84010-7020
(801) 856-0909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102860-1206
UT
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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