Provider First Line Business Practice Location Address:
35 N 500 W C/O ROOTS AND BRACHES WELLNESS
Provider Second Line Business Practice Location Address:
35 N 500 W
Provider Business Practice Location Address City Name:
LEHI
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-598-9164
Provider Business Practice Location Address Fax Number:
801-221-0291
Provider Enumeration Date:
06/26/2012