Jessica Lynn Gentile

NPI #1205488558 in Salt Lake City, Utah

Provider Information

NPI Number: 1205488558
Entity Type: Individual
Name: Jessica Lynn Gentile
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 16, 2019
Last Updated: Mar 8, 2022

Practice Location

Address: 59 S 1100 E
City: Salt Lake City
State: Utah
ZIP Code: 84102-1508
Phone: (801) 754-6051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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