Individual
BRENDA M WOODHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6104 W GINNY CIR, WEST VALLEY, UT 84128-2530
(801) 824-1563
Mailing address
6104 W GINNY CIR, WEST VALLEY, UT 84128-2530
(801) 824-1563
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
225700000X
Massage Therapist
Primary
10766479-4701
UT
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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