JENNA CROCKETT

SALT LAKE CITY, UT
NPI1306312202
Former NameJENNA PANG-CHING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  00000)
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
JENNA CROCKETT
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108-1261
Phone number: 808-640-7029
Mailing Address
JENNA CROCKETT
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108-1261
Phone number: