Individual
JENNIFER BERTAGNOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
993 S 800 W, WOODS CROSS, UT 84087-2056
(801) 695-5134
Mailing address
PO BOX 1674, BOUNTIFUL, UT 84011-1674
(801) 695-5134
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
9585456-3400
UT
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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