Individual
JENNIFER PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDA, RDN, CD, IBCLC
Contact information
Practice address
1581 E WATERBURY DR UNIT G, SALT LAKE CITY, UT 84121-1134
(208) 286-5415
Mailing address
1581 E WATERBURY DR UNIT G, SALT LAKE CITY, UT 84121-1134
(208) 286-5415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083279
UT
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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