NPI | 1245685122 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN MARIE ABSHER Registered Dietitian 801-691-8090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 7172730-4901) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |