Jasima Reynolds

NPI #1699174615 in Park City, Utah

Provider Information

NPI Number: 1699174615
Entity Type: Organization
Organization Name: Jasima Reynolds
Primary Specialty: Home Health
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 1640 REDSTONE CENTER DR
Address 2: SUITE 200
City: Park City
State: Utah
ZIP Code: 84098-7605
Phone: (435) 645-0788

Authorized Official

Name: MS. JASIMA REYNOLDS
Title: LPN
Phone: (314) 497-3573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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