Moonlighting INC

NPI #1366758591 in Draper, Utah

Provider Information

NPI Number
1366758591
Entity Type
Organization
Organization Name
Moonlighting INC
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Aug 25, 2010
Last Updated
Aug 25, 2010

Practice Location

Address
14728 PRISTINE DR
City
Draper
State
Utah
ZIP Code
84020-7642
Phone
(801) 599-3450

Authorized Official

Name
MR. LAYNE KILPATRICK, RPH
Title
PRESIDENT, CEO
Phone
(801) 599-3450

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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