Individual
JEFFERY LYLE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(801) 963-4360
Mailing address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(801) 963-4360
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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