Individual
ELISE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
248 W ANTELOPE DR, LAYTON, UT 84041-5031
(801) 660-5252
Mailing address
645 VISTA DR, FRUIT HEIGHTS, UT 84037-2753
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
142069144901
UT
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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