Individual
KRISTIN GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
12672 N ANGELS GATE, HIGHLAND, UT 84003-3849
(801) 647-3669
Mailing address
12672 N ANGELS GATE, HIGHLAND, UT 84003-3849
(801) 647-3669
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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