Individual
MADISON JAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(933) 180-1609
Mailing address
6019 WASATCH DR APT E235, OGDEN, UT 84403-5447
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
14160153-3601
UT
170300000X
Genetic Counselor (M.S.)
2561070
ID
Other
Enumeration date
09/04/2024
Last updated
09/25/2024
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