Individual
JAYSON NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3885 W CAMPUS DR DEPT 1137, OGDEN, UT 84408-1137
(801) 626-6000
Mailing address
3885 W CAMPUS DR DEPT 1137, OGDEN, UT 84408-1137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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