Individual
JASMINE ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 W 5900 S, MURRAY, UT 84107-6949
(385) 831-8641
Mailing address
181 W 5900 S, MURRAY, UT 84107-6949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14192214-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
12/12/2024
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