Individual
MS. FRIDA --- THEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
440 N PAIUTE DR, CEDAR CITY, UT 84720-2681
(435) 586-1112
(435) 867-1514
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84720-2681
(435) 586-1112
(435) 867-1514
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
5185090-4901
UT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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