Individual
CAROL FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-4017
Mailing address
245 E WENTWORTH AVE, SOUTH SALT LAKE, UT 84115-2848
(501) 519-0835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10446634-4901
UT
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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