Individual
MAYA AVELINA DE JONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 S WAKARA WAY STE 1100, SALT LAKE CITY, UT 84108-1214
(801) 581-7234
Mailing address
310 S WAKARA WAY STE 1100, SALT LAKE CITY, UT 84108-1214
(801) 581-7234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
03/30/2026
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