Provider First Line Business Practice Location Address:
I. J. & JEANNE WAGNER JEWISH COMMUNITY CENTER
Provider Second Line Business Practice Location Address:
2 NORTH MEDICAL DRIVE
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84113-8411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-0098
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2020