Jeffrey Jay Moulton
NPI #1649166612 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1649166612
- Entity Type
- Individual
- Name
- Jeffrey Jay Moulton
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 16, 2025
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 1370 S WEST TEMPLE
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84115-5218
- Phone
- (801) 893-8417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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