AUDREY JANTZEN, M.D. PLLC
Ambulatory Health at 100, Provo, UT

License number
Utah 66542191205
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. AUDREY JANTZEN
Title: MANAGER
Phone: (801) 229-1054
Address
Address
3685 N 100 E SUITE A, Provo, UT 84604
National Provider ID: 1538391339
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AUDREY JANTZEN, M.D. PLLC at bizstanding.com

AUDREY JANTZEN, M.D. PLLC

3685 N 100 E STE A, Provo, UT 84604

Status:
Inactive
Industry:
Neurologist
Doing business as:
Audrey Jantzen MD
Registration:
Jun 8, 2009
Phone:
(801) 229-1054 (Phone)
State ID:
7376899-0162
Business type:
LLC - Professional
Audrey Michelle Jantzen
Agent:
Audrey Jantzen,3685 N 100 E STE A, Provo, UT 84604 (Physical)

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