Individual
MS. ELAINE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-2045
Mailing address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-2045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7376081-4901
UT
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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