Individual
ALIVIA MAE FONNESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3623 W 3700 S, WELLSVILLE, UT 84339-8500
(435) 515-6474
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
14278244-4901
UT
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/19/2026
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