Individual
DAKOTA WREN CHETRIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
565 S KOMAS DR, SALT LAKE CITY, UT 84108-1208
(801) 584-5144
Mailing address
3913 BOYLE CT, SACRAMENTO, CA 95817-2922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1036816
CA
207Q00000X
Family Medicine Physician
Primary
8668423-1206
UT
Other
Enumeration date
01/22/2010
Last updated
11/26/2019
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