Individual
KRISTEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7763
Mailing address
2265 S STATE ST APT 350, SALT LAKE CITY, UT 84115-1412
(865) 924-9478
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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