NPI | 1265279210 |
---|---|
Doing Business As | HEALTHSOURCE OF WEST JORDAN |
Entity Type | Organization |
Authorized Contact | RYAN WARREN Owner 801-541-2902 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-10-15 |