NPI | 1407477474 |
---|---|
Doing Business As | SWEET LEAF FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MARCI BAAK Owner 801-577-4003 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-05-01 |
Last Update Date | 2020-05-01 |