NPI | 1346732765 |
---|---|
Doing Business As | SOUTHWICK INTEGRATIVE HEALING |
Entity Type | Organization |
Authorized Contact | MARTHA SOUTHWICK Owner/Employee 801-432-7712 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 200020-4405) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-08-17 |