Individual
KENIA NICOLE HAROLDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
498 N 900 W, KAYSVILLE, UT 84037-4137
(559) 305-4204
Mailing address
862 E SOUTHLAKE DR APT 17C, SALT LAKE CITY, UT 84107-5349
(559) 305-4204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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