Individual
BETHANY H TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
482 S 810 W APT 107, PLEASANT GROVE, UT 84062-2378
(772) 403-3392
Mailing address
482 S 810 W APT 107, PLEASANT GROVE, UT 84062-2378
(772) 403-3392
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86056649
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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