Individual
RINA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD/RD
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3000
(801) 475-3001
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3000
(801) 475-3001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3595764901
UT
Other
Enumeration date
10/17/2005
Last updated
01/18/2017
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