NPI | 1598947772 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH CORMIER Owner 435-882-4192 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 02183324405) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |