Individual
JENNIFER COLTRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 W ANTELOPE DR STE B20, LAYTON, UT 84041-1193
(385) 501-0055
(801) 692-6655
Mailing address
1649 W ANTELOPE DR STE B20, LAYTON, UT 84041-1193
(385) 501-0055
(801) 692-6655
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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