Individual
DR. ELLEN FASSMANN JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH PHARMD
Contact information
Practice address
2040 S 2300 E, SALT LAKE CITY, UT 84108-3220
(801) 487-1018
(801) 485-2271
Mailing address
1912 MILLBROOK DR, SALT LAKE CITY, UT 84106-3825
(801) 463-9084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
145001-1701
UT
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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