TERA LUANE JIMENEZ

OGDEN, UT
NPI1265002844
Former NameTERA LUANE KENNEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  119097543101)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
Mrs. TERA LUANE JIMENEZ LPN
2557 LINCOLN AVE
OGDEN, UT 84401-1307
Phone number: 801-622-5272
Mailing Address
Mrs. TERA LUANE JIMENEZ LPN
2557 LINCOLN AVE
OGDEN, UT 84401-1307
Phone number: