| NPI | 1457529117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENTINO MANUEL ABUEG Owner 801-281-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 342475-1205) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |