NPI | 1619286879 |
---|---|
Doing Business As | UTAH WEIGHT LOSS & NATURAL HORMONE CLINIC |
Entity Type | Organization |
Authorized Contact | KATHRYN R DESANTIS Owner, Provider 801-272-1246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 201603205NP-PP) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: UT 275822-8900) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2017-04-05 |