Organization
NOURISHED ROOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA SCOTESE RDN (DIRECT OWNER)
(440) 479-0042
Entity
Organization
Contact information
Practice address
52 W 330 N, NORTH SALT LAKE, UT 84054-2332
(440) 479-0042
Mailing address
52 W 330 N, NORTH SALT LAKE, UT 84054-2332
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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