NPI | 1205957792 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH LEGRAND HUMPHERYS Medical Director 801-565-3755 |
Organization Subpart ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: UT 6461348-7101) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |