Individual
JESSICA E. SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
818 W 400 S, VERNAL, UT 84078-2928
(971) 273-8668
Mailing address
818 W 400 S, VERNAL, UT 84078-2928
(971) 273-8668
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7009536-4901
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2008
Last updated
10/25/2021
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