GWEN LATENDRESSE

SALT LAKE CITY, UT
NPI1629226808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: UT  95-216631-4402)
Enumeration Date2008-08-30
Last Update Date2008-08-30
Business Address
Dr. GWEN LATENDRESSE CNM, PhD
10 S 2000 E ROOM 448
SALT LAKE CITY, UT 84112-5880
Phone number: 801-587-9636
Mailing Address
Dr. GWEN LATENDRESSE CNM, PhD
10 S 2000 E ROOM 448
SALT LAKE CITY, UT 84112-5880
Phone number: 801-587-9636