Jesse A Misionare
Jesse A Misionare is a Community Health Worker in Sandy, Utah. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
9045 S 1300 E Ste 200Sandy, UT 84094-3134
Phone: (801) 666-6834
Fax: (801) 904-0272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1467089391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2020 |
| Last updated in NPPES | March 23, 2020 |
| Certification date | March 23, 2020 |
| Mailing address | 9045 S 1300 E Ste 200, Sandy, UT 84094-3134 |
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