Individual
CECILY LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1167 BRYAN AVE, SALT LAKE CITY, UT 84105-2507
(801) 486-0567
Mailing address
1167 BRYAN AVE, SALT LAKE CITY, UT 84105-2507
(801) 486-0567
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2205194405
UT
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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