Roots and Raices Functional Medicine Inc.
NPI #1952955296 in South Ogden, Utah
Provider Information
- NPI Number
- 1952955296
- Entity Type
- Organization
- Organization Name
- Roots and Raices Functional Medicine Inc.
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 25, 2019
- Last Updated
- Jan 2, 2020
Practice Location
- Address
- 1452 E RIDGELINE DR STE 5
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84405-4949
- Phone
- (435) 267-7668
Authorized Official
- Name
- SUSAN M NAYLOR, FNP-C
- Title
- PRESIDENT
- Phone
- (435) 267-7668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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