| NPI | 1124434501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN CLEMENTS Nurse Practioner 801-796-7961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 1938944405) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |