Individual
JESSICA BROTHERS CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2205
Mailing address
11253 S OHENRY RD, SANDY, UT 84070-5394
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
UT
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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