Organization
CORE HELATH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY MEDINA PHARMD (CLINICAL DIRECTOR)
(503) 435-4954
Entity
Organization
Contact information
Practice address
1898 W 3500 S, SALT LAKE CITY, UT 84119-3436
(801) 604-2080
(801) 295-5602
Mailing address
1898 W 3500 S STE 16, S SALT LAKE, UT 84119-3436
(801) 604-2080
(801) 295-5602
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
UT
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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