Individual
GAYLENE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 N 4100 W, WEST POINT, UT 84015-7246
(385) 319-5602
Mailing address
606 N 4100 W, WEST POINT, UT 84015-7246
(385) 319-5602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196409-3102
UT
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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