Organization · Type 2 NPI
Moonlighting Inc
Community Health Clinic/Center · Draper, UT
NPI number
1366758591
Active
Practice location
14728 Pristine Dr
Draper, UT 84020-7642
Mailing address
PO Box 1344
Draper, UT 84020-1344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
Other community health clinic/center providers in Draper
About NPI 1366758591
Moonlighting Inc's National Provider Identifier is 1366758591, issued on Aug 25, 2010. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Draper, UT. The record was last updated on Aug 25, 2010.