Individual
MRS. CONNIE L PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
910 E 100 N, SUITE 105, PAYSON, UT 84651-1635
(801) 857-7440
(866) 340-7791
Mailing address
374 S 1230 W, SPANISH FORK, UT 84660-5531
(801) 857-7440
(866) 340-7791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6324049-4901
UT
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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