Individual
ASHLEY DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
130 N MAIN ST, LEWISTON, UT 84320-1501
(435) 512-6152
Mailing address
130 N MAIN ST, LEWISTON, UT 84320-1501
(435) 512-6152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
8898977-3101
UT
372600000X
Adult Companion
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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