Individual
ELLEN M. MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CHES
Contact information
Practice address
520 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 213-8720
Mailing address
530 S WAKARA WAY RM B140, SALT LAKE CITY, UT 84108-1213
(801) 213-3468
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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