Individual
ELYCE MEGAN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CD, RD
Contact information
Practice address
1871 S 1030 W, OREM, UT 84058-8141
(509) 294-6931
Mailing address
1871 S 1030 W, OREM, UT 84058-8141
(509) 294-6931
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12705609-4901
UT
Other
Enumeration date
03/26/2022
Last updated
02/05/2024
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