Individual
NATALIE GUNDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1036 OLDHAM DR, NORTH SALT LAKE, UT 84054-6009
(847) 754-7217
Mailing address
PO BOX 540222, NORTH SALT LAKE, UT 84054-0222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9109995-4901
UT
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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