Graduated: 2020
NPI: 1962088732
Practice Locations (2)
LIVI MEDICAL SERVICES LLC
11693 S 700, SUITE 200
DRAPER, UT 840207573
8018102147
MINDFUL MOBILE MEDICINE LLC
623 E FORT UNION BLVD, SUITE 105
MIDVALE, UT 840475529
3854121660
Source: CMS National Downloadable File, September 2026.