Individual
NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5317
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
9554064-4901
UT
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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