Individual
JASON O ZUMWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3497 W PAWNEE ST, WEST VALLEY, UT 84119-5028
(801) 608-7902
Mailing address
3497 W PAWNEE ST, WEST VALLEY, UT 84119-5028
(801) 608-7902
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
8181213-3102
UT
Other
Enumeration date
12/19/2015
Last updated
12/19/2015
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