Individual
HOLLY HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9820 N DEEP CREEK DR, CEDAR HILLS, UT 84062-8981
(317) 258-7217
Mailing address
9820 N DEEP CREEK DR, CEDAR HILLS, UT 84062-8981
(317) 258-7217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10392997-4901
UT
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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