| 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 |