JACKIE ANNE FONUA

WEST JORDAN, UT
NPI1336227206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  175335-1206)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- JACKIE ANNE FONUA PA-C
3354 W 7800 S
WEST JORDAN, UT 84088-4506
Phone number: 801-282-2677
Mailing Address
-- JACKIE ANNE FONUA PA-C
3354 W 7800 S
WEST JORDAN, UT 84088-4506
Phone number: 801-282-2677
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