Individual
JAZMIN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 W 500 S STE 200, BOUNTIFUL, UT 84010-8321
(801) 990-4300
(801) 967-2127
Mailing address
PO BOX 330, MAGNA, UT 84044-0330
(801) 990-4300
(801) 967-2127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12841521-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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