Individual
AMANDA M LUEKENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7860
Mailing address
PO BOX 271220, SALT LAKE CITY, UT 84127-1220
(801) 268-7860
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
60279274901
UT
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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