Individual
CHRISTY IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 336-1845
Mailing address
1154 W 1600 N APT B2, LAYTON, UT 84041-5612
(801) 628-4603
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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