Individual
RODNEY WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2719 CRIMSON RIDGE DRIVE, SAINT GEORGE, UT 84790
(435) 669-1905
Mailing address
2719 CRIMSON RIDGE DRIVE, SAINT GEORGE, UT 84790
(435) 669-1905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4548912-3102
UT
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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