Individual
MR. JONATHAN DAVID ISHOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
909 N 1760 W, PROVO, UT 84604-3096
(801) 708-2258
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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