Individual
LEAH KIRSCHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
690 E DOWNING ST, MIDVALE, UT 84047-4620
(801) 494-3228
Mailing address
690 E DOWNING ST, MIDVALE, UT 84047-4620
(801) 494-3228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1105834
UT
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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