Individual
JORDAN KIMBALL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 581-6696
Mailing address
520 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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