Jacob Watts

NPI #1164279394 in Midvale, Utah

Provider Information

NPI Number: 1164279394
Entity Type: Individual
Name: Jacob Watts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 6, 2024
Last Updated: May 6, 2024

Practice Location

Address: 91 E FORT UNION BLVD
City: Midvale
State: Utah
ZIP Code: 84047-1531
Phone: (801) 569-1995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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