Candilora, Jackie

Candilora, Jackie is an individual health care provider with primary practice located at 2500 S State St , South Salt Lake UT 84115-3164. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Candilora, Jackie can be contacted via phone (385) 646-5000.

Contact Information

Primary practice address
2500 S State St South Salt Lake UT 84115-3164
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 379674-3102 Utah

Profile Details

NPI number 1144968066
LBN Legal business name Candilora, Jackie
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2022
Last updated May 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers