Individual
MISS JENNIFER NICOLE PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S WAKARA WAY, SALT LAKE CITY, UT 84108-1214
(800) 469-7423
Mailing address
101 THE CITY DR S # ZC4482, ORANGE, CA 92868-3201
(714) 456-5837
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000646
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/17/2015
Last updated
10/06/2022
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