Individual
MARYSA CHIEKO ANDERSON-CARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
2319 S FOOTHILL DR STE 180, SALT LAKE CITY, UT 84109-5403
(385) 722-4393
Mailing address
2319 S FOOTHILL DR STE 180, SALT LAKE CITY, UT 84109-5403
(385) 722-4393
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10036060-4901
UT
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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