Individual
MRS. JENNIFER A BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1966 S 2590 W, SYRACUSE, UT 84075-7022
(801) 698-3003
(801) 776-5252
Mailing address
1966 S 2590 W, SYRACUSE, UT 84075-7022
(801) 698-3003
(801) 776-5252
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5324848-4901
UT
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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