person
Jeremiah M Evan
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1134690852

Jeremiah M Evan is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Jeremiah M Evan practices in Salt Lake City, UT. The NPI Number for Jeremiah M Evan is 1134690852 and holds a License No. (Utah).

The current practice location address for Jeremiah M Evan is 373 E 700 S, Salt Lake City, UT and can be reached out via phone at 541-908-6335.

Location: 373 E 700 S, Salt Lake City, UT, 84111-4046
person
Provider Profile Details
NPI Number
1134690852
Provider Name
Jeremiah M Evan
Credential
Provider Entity Type
Individual
Gender
Male
Address
373 E 700 S, Salt Lake City, UT, 84111-4046
Phone Number
541-908-6335
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
373 E 700 S
City
State
Zip
84111-4046
Phone Number
541-908-6335
Fax Number
person
Provider Business Mailing Address Details
Address
373 E 700 S
City
State
Zip
84111-4046
Phone Number
541-908-6335
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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