VITALIS LLC

RIVERTON, UT
NPI1598502973
Entity TypeOrganization
Authorized ContactSHAUN LARSEN
Owner
801-910-4746
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2024-07-11
Last Update Date2024-08-16
Business Address
VITALIS LLC
13553 S REDWOOD RD
RIVERTON, UT 84065-5734
Phone number: 801-910-4746
Mailing Address
VITALIS LLC
13553 S REDWOOD RD
RIVERTON, UT 84065-5734
Phone number: 801-910-4746
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