Individual provider · Type 1 NPI

Mikell Jo Jensen

Other Technician · St. George, UT

NPI number 1164707477 Active

Practice location

960 N Dixie Downs Rd
St. George, UT 84770-4206

Mailing address

474 W 200 N, Suite 200
St. George, UT 84770-4505

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1164707477

Mikell Jo Jensen's National Provider Identifier is 1164707477, issued on Oct 18, 2011. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in St. George, UT. The record was last updated on Oct 18, 2011.