MICHAEL JACKSON

SALT LAKE CITY, UT
NPI1023848082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
MICHAEL JACKSON
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-273-6335
Mailing Address
MICHAEL JACKSON
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5427
Phone number: