KATHRYN GRACE QUEZADA

LOGAN, UT
NPI1912537887
Former NameKATHRYN GRACE WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  9279002-4405)
Enumeration Date2020-01-20
Last Update Date2020-01-20
Business Address
KATHRYN GRACE QUEZADA FNP
165 E 100 N APT E
LOGAN, UT 84321-4630
Phone number: 801-807-8689
Mailing Address
KATHRYN GRACE QUEZADA FNP
165 E 100 N APT E
LOGAN, UT 84321-4630
Phone number: 801-807-8689
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