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Organization
INNOVATIVE NEONTAL SOLUTIONS LLC
Active
Organization
INNOVATIVE NEONTAL SOLUTIONS LLC
Active
Other names
Desert Oak Phototherapy
Organization subpart
No
Provider details
NPI number
Authorized official
KALLAN C WEBSTER (OWNER)
(435) 817-7619
Entity
Organization
Contact information
Practice address
2545 BELLA VISTA DR, SANTA CLARA, UT 84765-1207
(435) 817-7619
(435) 359-5171
Mailing address
2545 BELLA VISTA DR, SANTA CLARA, UT 84765-1207
(435) 817-7619
(435) 359-5171
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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