Javoris Douglas

NPI #1629772355 in Clearfield, Utah

Provider Information

NPI Number: 1629772355
Entity Type: Individual
Name: Javoris Douglas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health & Wellness Coach
Enumeration Date: Mar 28, 2023
Last Updated: Mar 28, 2023

Practice Location

Address: 104 W 250 N APT 2
City: Clearfield
State: Utah
ZIP Code: 84015-3327
Phone: (770) 309-2363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health & Wellness Coach	171400000X	Primary

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