Jacob Lyle Hereth
Jacob Lyle Hereth is a Community Health Worker in Salt Lake City, Utah. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
4460 S Highland Dr Ste 300Salt Lake City, UT 84124-3562
Phone: (888) 949-4864
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1598240947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 2, 2018 |
| Last updated in NPPES | January 7, 2021 |
| Certification date | January 7, 2021 |
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