Individual
DR. JESSICA PONCE HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5063 S COTTONWOOD ST STE 100, MURRAY, UT 84107-6772
(323) 474-1037
Mailing address
1546 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3524
(323) 474-1037
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/23/2021
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