Nourished Roots, LLC
NPI #1982462495 in North Salt Lake, Utah
Provider Information
- NPI Number
- 1982462495
- Entity Type
- Organization
- Organization Name
- Nourished Roots, LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 8, 2024
- Last Updated
- Mar 8, 2024
Practice Location
- Address
- 52 W 330 N
- City
- North Salt Lake
- State
- Utah
- ZIP Code
- 84054-2332
- Phone
- (440) 479-0042
Authorized Official
- Name
- ALYSSA SCOTESE, RDN
- Title
- DIRECT OWNER
- Phone
- (440) 479-0042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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