Individual
JENSEN EYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
34 S 500 E STE 202, SALT LAKE CITY, UT 84102-1094
(801) 582-2011
(801) 582-2011
Mailing address
34 S 500 E STE 202, SALT LAKE CITY, UT 84102-1094
(801) 582-2011
(801) 582-2011
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
33951
UT
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
171M00000X
Case Manager/Care Coordinator
33951
UT
172V00000X
Community Health Worker
Primary
33951
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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