Individual
JAVORIS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 W 250 N APT 2, CLEARFIELD, UT 84015-3327
(770) 309-2363
Mailing address
104 W 250 N APT 2, CLEARFIELD, UT 84015-3327
(770) 309-2363
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1234
UT
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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