Individual
PAIGE JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5848 FASHION BLVD, MURRAY, UT 84107-6121
(801) 314-4040
Mailing address
5545 BREKENRIDGE DR, SALT LAKE CITY, UT 84117-7308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4931361-4810
UT
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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