Individual
MADISON HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 S 700 E, MIDVALE, UT 84047-5772
(888) 949-4864
Mailing address
1658 W ERICKSON PARK DR, WEST JORDAN, UT 84084-7450
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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