Individual
EMA THAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2700
Mailing address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9067417-4901
UT
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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