Individual
WHITNEY PETTERBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
517 W 100 N STE 110, PROVIDENCE, UT 84332-9826
(435) 755-6075
Mailing address
172 MEADOW CIR, LOGAN, UT 84321-5095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86118135
UT
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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