NPI | 1558495309 |
---|---|
Entity Type | Organization |
Authorized Contact | HITOMI NASHIYAMA Family Nurse Practitioner 801-897-4070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 5796226-8900) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |