Individual
JESIAH SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 W 1130 S, SUITE B, OREM, UT 84058
(801) 935-4171
Mailing address
735 W 1000 N, MAPLETON, UT 84664-3447
(801) 404-4349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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