Individual
BROOKLIN CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
441 N 1220 W, PROVO, UT 84601-2440
(385) 307-6111
Mailing address
441 N 1220 W, PROVO, UT 84601-2440
(385) 307-6111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86293118
UT
Other
Enumeration date
07/20/2023
Last updated
02/14/2024
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