Organization
MAIN AND CENTER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY GOULD (MANGING MEMBER)
(801) 931-0063
Entity
Organization
Contact information
Practice address
20 N MAIN, KANARRAVILLE, UT 84742
(801) 931-0063
Mailing address
HC 65 BOX 164, KANARRAVILLE, UT 84742-6502
(801) 931-0063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
11/14/2024
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