Individual
MARY K JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N., C.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2550
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(385) 282-2550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
94925794901
UT
Other
Enumeration date
12/21/2015
Last updated
04/22/2016
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