Individual
MS. MAEGAN RANAE MCBROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
5349 ADAMS AVE PKWY STE A, WASHINGTON TR, UT 84405-4736
(801) 479-9865
(801) 479-5846
Mailing address
5349 ADAMS AVE PKWY STE A, WASHINGTON TR, UT 84405-4736
(801) 479-9865
(801) 479-5846
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
34872
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34872
CHES
—
Enumeration date
01/19/2021
Last updated
01/19/2021
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