Individual
LAURA ROBINETTE WOOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(385) 249-2122
Mailing address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13205798-3102
UT
164W00000X
Licensed Practical Nurse
13205798-3101
UT
Other
Enumeration date
11/21/2023
Last updated
03/20/2024
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