Shirley Bodine Ellsworth
Nursing at Goosenest Dr, Payson, UT

License number
Colorado 253
Issued Date
Sep 23, 2014
Renew Date
Sep 23, 2014
Expiration Date
Sep 30, 2016
Type
Compact Advanced Practice Authority
Address
Address 2
38 E Goosenest Dr, Payson, UT 84651
Payson, UT