JARED BLAKE ALLAN

MURRAY, UT
NPI1659080927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: UT  9046989-4405)
Enumeration Date2022-11-16
Last Update Date2023-11-16
Business Address
MR. JARED BLAKE ALLAN AGACNP
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
Mailing Address
MR. JARED BLAKE ALLAN AGACNP
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000