Individual
MRS. CORY ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, R.D.
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Mailing address
854 LAKEVIEW, STANSBURY PARK, UT 84074-1901
(435) 770-8979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6077176-4901
UT
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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