MRS. Dyanna H.w. Gordon, C.P.M.

NPI #1609142058 in Leeds, Utah

Provider Information

NPI Number: 1609142058
Entity Type: Individual
Name: MRS. Dyanna H.w. Gordon, C.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife, Lay
Credential: C.P.M.
Enumeration Date: Mar 30, 2012
Last Updated: Mar 30, 2012

Practice Location

Address: 2105 OAK GROVE ROAD
City: Leeds
State: Utah
ZIP Code: 84746
Phone: (435) 215-6514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife, Lay	175M00000X	Primary

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