Organization
LIVE LOVE DREAM WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY LYNN CONDIE PHARMD (CEO)
(801) 631-2299
Entity
Organization
Contact information
Practice address
9735 S 2950 W, SOUTH JORDAN, UT 84095-3262
(801) 631-2299
Mailing address
9735 S 2950 W, SOUTH JORDAN, UT 84095-3262
(801) 631-2299
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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