Individual
TRACY HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL DR, SLC, UT 84148-0001
(801) 584-1284
Mailing address
167 U ST, SLC, UT 84103-4307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
49426784901
UT
Other
Enumeration date
01/10/2009
Last updated
01/10/2009
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