Individual
MRS. JULIE ANNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
1904 WEST GORDON AVENUE, LAYTON, UT 84041-7232
(801) 444-0794
Mailing address
P.O. BOX 160623, CLEARFIELD, UT 84016-7232
(801) 444-0794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5143232-4901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5143232-4901
CERTIFICATION NUMBER
UT
Enumeration date
12/05/2013
Last updated
12/05/2013
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