Individual
LIBBI HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2108
Mailing address
421 E 8220 S, SANDY, UT 84070-0422
(402) 980-4221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12253981-4901
UT
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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