Individual
JERALDINE HARASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 390-9249
Mailing address
306 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3410
(801) 390-9249
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
9079293-3601
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16693
GENETIC COUNSELING CERTIFICATION NUMBER
UT
Enumeration date
03/19/2015
Last updated
03/19/2015
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