GAYLENE O WALL

HOOPER, UT
NPI1538495262
Former NameGAYLENE O BROWN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: UT  UT000212840909)
Additional Taxonomies374U00000X Home Health Aide
(Licence: UT  UT000212840909)
Enumeration Date2009-10-30
Last Update Date2009-10-30
Business Address
-- GAYLENE O WALL CNA
6393 W 4600 S
HOOPER, UT 84315-6753
Phone number: 801-985-7585
Mailing Address
-- GAYLENE O WALL CNA
6393 W 4600 S
HOOPER, UT 84315-6753
Phone number: 801-985-7585