Organization
VITAL LIFE BRANDS
Active
Organization
VITAL LIFE BRANDS
Active
Other names
Simply Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEBENHAM OWNER (MANAGING MEMBER)
(801) 703-5885
Entity
Organization
Contact information
Practice address
3355 S STATE ST, SOUTH SALT LAKE, UT 84115-4526
(801) 335-5843
(801) 335-5843
Mailing address
3355 S STATE ST, SOUTH SALT LAKE, UT 84115-4526
(801) 335-5843
(801) 335-5843
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
Update your record
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