Jason Sioualofa Davidson

NPI #1700262383 in South Ogden, Utah

Provider Information

NPI Number: 1700262383
Entity Type: Individual
Name: Jason Sioualofa Davidson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 5, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 5150 S WASHINGTON BLVD STE 1
City: South Ogden
State: Utah
ZIP Code: 84405-4503
Phone: (801) 337-0067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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