| NPI | 1952955296 |
|---|---|
| Other Name | ROOTS AND RAICES FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SUSAN M NAYLOR President 435-267-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-01-02 |