| NPI | 1518786698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LAFONTAINE Owner 801-215-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-11-19 |