Individual
MS. JACQUELYNNE LAREEN CHLARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7302 WEST 3500 SOUTH, MAGNA, UT 84044-2449
(801) 250-4436
Mailing address
P.O. BOX 344, MAGNA, UT 84044-0344
(801) 250-4436
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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