Individual
MRS. JENNIFER LYNN HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 36TH ST STE 202, OGDEN, UT 84403-2093
(801) 392-0004
(801) 392-2618
Mailing address
1563 S 2350 W, WEST HAVEN, UT 84401-0101
(801) 731-1558
(801) 392-2618
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/30/2010
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