Individual
ELAINA C GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 E 1000 S STE D, PLEASANT GROVE, UT 84062-3716
(801) 899-2559
Mailing address
1478 S RED FILLY RD, HEBER CITY, UT 84032-1332
(801) 574-7171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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