TANYA S JACKSON

SANDY, UT
NPI1255445383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  518917351205)
Enumeration Date2006-08-18
Last Update Date2007-07-08
Business Address
-- TANYA S JACKSON MD
9500 S 1300 E
SANDY, UT 84094-3763
Phone number: 801-501-2100
Mailing Address
-- TANYA S JACKSON MD
9500 S 1300 E
SANDY, UT 84094-3763
Phone number: 801-501-2100