KATRIEN JACK

ROY, UT
NPI1366024390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  13028685-1206)
Enumeration Date2021-04-28
Last Update Date2025-11-21
Business Address
KATRIEN JACK PA-C
1915 W 5950 S
ROY, UT 84067-1454
Phone number: 801-387-8100
Mailing Address
KATRIEN JACK PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: