NPI 1184144750

Jesus Roman Galvez Hermosillo

Practitioner Licensed Practical Nurse Layton, UT

Practice location

Address: 934 S Main St, Layton, UT 84041-7135
Phone: (801) 773-7060

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 6705103-3101 (UT)

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Registry record

NPI: 1184144750
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.