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Gwen Latendresse, CNM, PHD
NPI 1629226808 · on the registry since 2008 · sole proprietor
Practice
- Address
- 10 S 2000 E
Room 448
Salt Lake City, UT 84112 - Phone
- (801) 587-9636
- Fax
- (801) 587-9838
- Clinicians at this address
- 85
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah