Individual
MRS. AMANDA JOLENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
2172 E 7200 S, SPANISH FORK, UT 84660-9340
(866) 805-1199
Mailing address
3739 N TUMWATER WEST DR, EAGLE MOUNTAIN, UT 84005-6167
(801) 473-9402
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
973193
UT
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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