Individual
JENNA CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-2222
Mailing address
2473 S DELPHINIUM WAY, SARATOGA SPRINGS, UT 84045-3835
(801) 815-6020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7059424-3102
UT
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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