JACKIE EVANS BLACK

PROVO, UT
NPI1629144308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: UT  218040-3102)
Enumeration Date2006-11-27
Last Update Date2007-07-09
Business Address
-- JACKIE EVANS BLACK RN
151 S UNIVERSITY AVE # 1900
PROVO, UT 84601-4427
Phone number: 801-851-7026
Mailing Address
-- JACKIE EVANS BLACK RN
265 E 200 S
SALEM, UT 84653-9452
Phone number: 801-423-2373
Similar providers in Provo, UT
JACQUELINE EILEEN JONES
DEANNE TANNER FRANCIS
JAMIE QUITORIANO
EMMA CAROL CALVERT ELISON
KELLY SUE VALDEZ
JULIE DULANY
JULIE SPARKS LOVERIDGE
JAN SUMSION
MELANIE WINSOR
MARLA RAFF