Individual
MESHA FAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN CDCES
Contact information
Practice address
3225 W GORDON AVE STE 1, LAYTON, UT 84041-5728
(801) 397-6150
(801) 397-6151
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
292168-4901
UT
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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