| NPI | 1972024586 |
|---|---|
| Doing Business As | BLENDTEC HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DARCE LATSIS Operations Manager 801-225-1281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 10332017-1725) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |