Individual
VICTORIA KATHLEEN GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 KIESEL AVE, OGDEN, UT 84401-1964
(801) 528-5066
Mailing address
2348 KIESEL AVE, OGDEN, UT 84401-1964
(801) 528-5066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11774279-4701
UT
376G00000X
Nursing Home Administrator
Primary
2023-ALII-UT000933
UT
Other
Enumeration date
04/12/2023
Last updated
03/19/2026
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