Individual
MS. SHELLAGH RAE GUTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CWON
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-7546
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-7546
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
262381-3102
UT
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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