Jacob Clay

NPI #1154950046 in Provo, Utah

Provider Information

NPI Number: 1154950046
Entity Type: Individual
Name: Jacob Clay
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 3, 2020
Last Updated: Apr 3, 2020

Practice Location

Address: 151 S UNIVERSITY AVE STE 3200
City: Provo
State: Utah
ZIP Code: 84601-4427
Phone: (801) 851-7128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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