Grace-Mae Cachero Genitiano Kelly

NPI #1265916639 in Slc, Utah

Provider Information

NPI Number
1265916639
Entity Type
Individual
Name
Grace-Mae Cachero Genitiano Kelly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 20, 2018
Last Updated
Nov 1, 2021

Practice Location

Address
4460 S HIGHLAND DR
City
Slc
State
Utah
ZIP Code
84124-3543
Phone
(888) 949-4864

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Nurse Practitioner - FamilyFamily

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