Individual
KRISTIN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NTM, RWS, NANP
Contact information
Practice address
7341 S TICO DR, WEST JORDAN, UT 84081-4102
(801) 808-6524
Mailing address
7341 S TICO DR, WEST JORDAN, UT 84081-4102
(801) 808-6524
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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