Individual
KAMILLE THAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 W 12600 S, RIVERTON, UT 84065-7215
(801) 285-3000
Mailing address
767 W WOODLAND ACRE LN, DRAPER, UT 84020-8402
(801) 828-7637
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
9421907-3102
UT
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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