Individual
JESSICA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4416 VISTA POINTE DR, MEDFORD, OR 97504-8084
(435) 881-1592
Mailing address
PO BOX 452, PARADISE, UT 84328-0452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00994216
UT
Other
Enumeration date
02/19/2020
Last updated
06/11/2024
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