Theta Wellness Center | |
524 W 300 N Suite 102 Provo UT 84601-2667 | |
(801) 852-1400 | |
Not Available |
Full Name | Theta Wellness Center |
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Speciality | Nurse Practitioner |
Location | 524 W 300 N, Provo, Utah |
Authorized Official Name and Position | Kendra A. Bernal (OFFICE MANAGER) |
Authorized Official Contact | 8018521400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Theta Wellness Center 524 W 300 N Suite 102 Provo UT 84601-2667 Ph: (801) 852-1400 | Theta Wellness Center 524 W 300 N Suite 102 Provo UT 84601-2667 Ph: (801) 852-1400 |
NPI Number | 1891036497 |
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Provider Enumeration Date | 03/06/2013 |
Last Update Date | 03/06/2013 |
Identifier | Type | State | Issuer |
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1891036497 | NPI | - | NPPES |
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