Life Skills Nutritional Supplements

NPI #1750374443 in Midvale, Utah

Provider Information

NPI Number
1750374443
Entity Type
Organization
Organization Name
Life Skills Nutritional Supplements
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 26, 2005
Last Updated
Dec 2, 2008

Practice Location

Address
6912 S 185 W
Address 2
SUITE A
State
Utah
ZIP Code
84047-3719
Phone
(801) 554-1830

Authorized Official

Name
MS. ANGIE JEANIE DOHERTY
Title
MANAGER
Phone
(801) 554-1830

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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