Individual
MRS. YENA YU GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1342 HERR LN, LOUISVILLE, KY 40222-4306
(915) 799-9734
Mailing address
1342 HERR LN, LOUISVILLE, KY 40222-4306
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1172261
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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