RAQUEL JENSEN

PROVO, UT
NPI1790444222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  265625-3101)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
RAQUEL JENSEN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
RAQUEL JENSEN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760