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 |