RAIJA P. MADDOCK

SALT LAKE CITY, UT
NPI1033530043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  188101-4405)
Enumeration Date2013-12-17
Last Update Date2013-12-17
Business Address
Ms. RAIJA P. MADDOCK FNP, APRN
415 EAST 3900 SOUTH MALIHEH FREE CLINIC
SALT LAKE CITY, UT 84107
Phone number: 801-266-3700
Mailing Address
Ms. RAIJA P. MADDOCK FNP, APRN
2553 BEVERLY ST
SALT LAKE CITY, UT 84106
Phone number: 801-485-5445
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