Individual
JEREMY PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6233 S HIGHLAND DR, HOLLADAY, UT 84121-2125
(801) 520-3976
Mailing address
2573 E 6600 S, SALT LAKE CITY, UT 84121-2349
(801) 520-3976
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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