JACKSON KIMBALL HOUMAND NPI 1477221174

NPI Information

Jackson Kimball Houmand is a student in an organized health care education training program in West Valley City, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jackson Kimball Houmand NPI is 1477221174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5698 W GLEN EAGLE DR
WEST VALLEY CITY, UT
ZIP 84128-013
Phone: (801) 917-5457

The enumeration date for this NPI number is 8/30/2021 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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