Individual
ANDREA TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11576 ROSELAWN WAY, SOUTH JORDAN, UT 84095-8781
(801) 502-8204
Mailing address
11576 ROSELAWN WAY, SOUTH JORDAN, UT 84095-8781
(801) 502-8204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5697855-4901
UT
Other
Enumeration date
04/02/2008
Last updated
04/04/2012
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