Individual
MRS. DYANNA H.W. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
2105 OAK GROVE ROAD, LEEDS, UT 84746
(435) 215-6514
Mailing address
PO BOX 460686, LEEDS, UT 84746-0686
(435) 215-6514
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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