Individual
JAYCIE LYN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 5530 S, OGDEN, UT 84405-6976
(801) 791-2415
Mailing address
201 E 5530 S, OGDEN, UT 84405-6976
(801) 791-2415
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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