Individual
JAMIE HENRIKSEN KOWALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4738 W VERMILLION DR, SOUTH JORDAN, UT 84009-4798
(702) 366-6990
Mailing address
4738 W VERMILLION DR, SOUTH JORDAN, UT 84009-4798
(702) 366-6990
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
194216883
UT
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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