Individual
ASHLEY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
14189727-4901
UT
Other
Enumeration date
09/21/2023
Last updated
07/28/2025
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