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Jericho Pineda
NPI 1750859997 · on the registry since 2018
Practice
- Address
- 1576 S 500 W
Bountiful, UT 84010 - Phone
- (801) 406-9002
- Fax
- (801) 855-5660
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah