Organization
UTAH WEIGHT LOSS & NATURAL HORMONE CLINIC
Active
Other names
Utah Weight Loss & Natural Hormone Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN R DESANTIS FNP (OWNER, PROVIDER)
(801) 272-1246
Entity
Organization
Contact information
Practice address
1378 SW DAVID DR, GRANTS PASS, OR 97527-6429
(801) 272-1246
Mailing address
1378 SW DAVID DR, GRANTS PASS, OR 97527-6429
(801) 272-1246
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
201603205NP-PP
OR
261QP2300X
Primary Care Clinic/Center
275822-8900
UT
Other
Enumeration date
10/05/2010
Last updated
04/05/2017
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