IVANNA MARIA FUENTES JAVIER

OGDEN, UT
NPI1386491819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  128960863501)
Enumeration Date2024-05-02
Last Update Date2024-05-02
Business Address
IVANNA MARIA FUENTES JAVIER
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
Mailing Address
IVANNA MARIA FUENTES JAVIER
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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