Individual
YVETTE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 964-3855
Mailing address
7473 SHAY LN, SOUTH WEBER, UT 84405-9202
(801) 920-7050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86032429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62-1801973
—
UT
Enumeration date
12/01/2015
Last updated
12/01/2015
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