Individual
MS. JILL L NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5575 S 500 E, OGDEN, UT 84405-6907
(801) 479-0351
Mailing address
85 MEDICAL DR # 201, SALT LAKE CITY, UT 84112-1100
(801) 581-8578
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
276612-4901
UT
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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