Individual
JODI BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CD, CNSC
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-4219
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
118027-4901
UT
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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