Individual
ALYSSA SHAELYN REIDHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
128 S 1350 E, HYRUM, UT 84319-2029
(702) 423-7657
Mailing address
128 S 1350 E, HYRUM, UT 84319-2029
(702) 423-7657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9539729-4901
UT
Other
Enumeration date
08/25/2015
Last updated
01/14/2022
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