JALEN MON TIEV

PROVIDENCE, UT
NPI1497485049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-15
Last Update Date2022-09-15
Business Address
JALEN MON TIEV PA
412 MEADOW LN
PROVIDENCE, UT 84332-9821
Phone number: 435-363-6400
Mailing Address
JALEN MON TIEV PA
412 MEADOW LN
PROVIDENCE, UT 84332-9821
Phone number: 435-363-6400
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