Individual
ANDREA ADDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1174 E GRAYSTONE WAY STE 1A, SALT LAKE CITY, UT 84106-2671
(801) 664-2182
Mailing address
715 RANCH LOOP RD, PRESTON, ID 83263-5116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6511772-4901
UT
Other
Enumeration date
01/26/2013
Last updated
02/05/2025
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