Individual
HOLLY DAWN WILKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D
Contact information
Practice address
8 TH AVE AND C ST, SLC, UT 84143-0001
(801) 408-5046
Mailing address
8 TH AVE AND C ST, SLC, UT 84143-0001
(801) 408-5046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
309413-4901
UT
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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