NPI 1508305566

Gracelyn Estrada, LMT

Practitioner Legal Medicine Layton, UT

Practice location

Address: 955 S 225 E, Layton, UT 84041-4169
Phone: (385) 239-2472

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 10149438-4701 (UT)

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Registry record

NPI: 1508305566
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2017
Record last updated: 22 Feb 2017

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.