Individual
MRS. COURTNEY ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDA, RD, CD
Contact information
Practice address
619 W 2100 N, PLEASANT GROVE, UT 84062-5008
(801) 362-6305
Mailing address
619 W 2100 N, PLEASANT GROVE, UT 84062-5008
(801) 362-6305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12852970-4901
UT
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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