Individual
JAINER JOSE MUNOZ VALBUENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
14861 S MARBLE ROCK WAY, HERRIMAN, UT 84096-2266
(407) 607-1473
Mailing address
14861 S MARBLE ROCK WAY, HERRIMAN, UT 84096-2266
(407) 607-1473
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-436
UT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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