Individual
MADELINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9340 S 700 E, SANDY, UT 84070-6203
(385) 468-4365
Mailing address
9340 S 700 E, SANDY, UT 84070-6203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
134472654901
UT
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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