Individual
DEANNA WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4306
Mailing address
1236 BIRDIE LN, FRUIT HEIGHTS, UT 84037-3213
(801) 678-9433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
804917
UT
Other
Enumeration date
07/30/2019
Last updated
02/10/2020
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