Jalen Mon Tiev, PA
NPI #1497485049 in Providence, Utah
Provider Information
- NPI Number
- 1497485049
- Entity Type
- Individual
- Name
- Jalen Mon Tiev, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 15, 2022
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 412 MEADOW LN
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9821
- Phone
- (435) 363-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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