NPI | 1013757483 |
---|---|
Doing Business As | ADVANCED MOBILE IV OF PROVO/SPANISH FORK |
Entity Type | Organization |
Authorized Contact | TANGI PERRY Co Owner 801-592-2539 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Enumeration Date | 2024-05-31 |
Last Update Date | 2024-05-31 |