Individual
KRISHA ELIZABETH DECOURSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1219
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1219
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
349564-4901
UT
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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