| Pure Life Health And Wellness Llc | |
|
617 E Riverside Dr Ste 104 St George UT 84790-8720 | |
| (801) 638-7826 | |
| Not Available |
| Full Name | Pure Life Health And Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 617 E Riverside Dr Ste 104, St George, Utah |
| Authorized Official Name and Position | Aj Yergensen (ADMIN) |
| Authorized Official Contact | 4359869369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Life Health And Wellness Llc 617 E Riverside Dr Ste 104 St George UT 84790-8720 Ph: (801) 638-7826 | Pure Life Health And Wellness Llc 617 E Riverside Dr Ste 104 St George UT 84790-8720 Ph: (801) 638-7826 |
| NPI Number | 1003521485 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003521485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | (* (Not Available)) | Secondary |
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