Individual
ALEXIS L SHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 N 950 E, OGDEN, UT 84404-3885
(801) 710-1156
Mailing address
727 N 950 E, OGDEN, UT 84404-3885
(801) 710-1156
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-305372
UT
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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