Individual
BROOKE DIPOMA BOUWHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
958 DORIS PL, KAYSVILLE, UT 84037-6830
(801) 628-8543
Mailing address
958 DORIS PL, KAYSVILLE, UT 84037-6830
(801) 628-8543
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
865063
UT
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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