Individual
MS. MARY RENATE YOUTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2576
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2576
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
2769623102
UT
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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