NPI | 1033653233 |
---|---|
Doing Business As | ALIE MEDICAL PRACTICE |
Entity Type | Organization |
Authorized Contact | ANDREA LOVING Nurse Practitioner 801-792-0218 |
Organization Subpart ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: UT 77715794405) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2019-09-30 |