JEAN STANFORD

OREM, UT
NPI1710037213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  102228-1206)
Enumeration Date2007-01-10
Last Update Date2011-10-18
Business Address
-- JEAN STANFORD PA-C
412 W 800 N
OREM, UT 84057-3728
Phone number: 801-235-7246
Mailing Address
-- JEAN STANFORD PA-C
283 E 930 S
OREM, UT 84058-5001
Phone number: 801-225-6246