Individual
GABRIELLA KINIKINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 355-2846
Mailing address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
10397456-3102
UT
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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