Individual
JESSICA CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(208) 680-4176
Mailing address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
UT
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/12/2022
Last updated
09/20/2023
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