Individual
KENNETE JUAN SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7613 S JORDAN LANDING BLVD STE 200, WEST JORDAN, UT 84084-1973
(801) 613-9843
(385) 213-6087
Mailing address
4943 S RAYFORD CIR, KEARNS, UT 84118-7226
(801) 814-2262
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1492
UT
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
06/10/2021
Last updated
03/09/2022
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