| NPI | 1902476120 |
|---|---|
| Doing Business As | HEALTHCARE PI |
| Entity Type | Organization |
| Authorized Contact | PEDRO LIRA Healthcare Administrator 801-755-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |