Individual
JENNY MARIE HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E, 4R118, SALT LAKE CITY, UT 84132-0002
(801) 587-3451
Mailing address
30 N 1900 E, 4R118, SALT LAKE CITY, UT 84132-0002
(801) 587-3451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8096677-1206
UT
Other
Enumeration date
09/23/2011
Last updated
11/03/2021
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