Organization
TOUGH LUCK MED KITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB ANDERSON DNP, FNP-C (PROVIDER)
(801) 647-2694
Entity
Organization
Contact information
Practice address
182 S 1450 E, HYRUM, UT 84319-4901
(801) 647-2694
Mailing address
182 S 1450 E, HYRUM, UT 84319-4901
(801) 647-2694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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