| NPI | 1740912260 |
|---|---|
| Former Legal Business Name | REVEAL ULTRASOUND STUDIO & SPA LLC |
| Entity Type | Organization |
| Authorized Contact | MARTHA HODGES Contract Manager 801-423-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |