Individual
KATHERINE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 S CROFT CV, SALT LAKE CITY, UT 84106-1187
(301) 395-5164
Mailing address
3521 S CROFT CV, SALT LAKE CITY, UT 84106-1187
(301) 395-5164
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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