Individual
DEVRIE PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
3906 W BETHPAGE CT, SOUTH JORDAN, UT 84009-4168
(801) 455-5546
Mailing address
3906 W BETHPAGE CT, SOUTH JORDAN, UT 84009-4168
(801) 455-5546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
71664924901
UT
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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