Individual
JESSICA LORRAINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
416 E 3075 N, NORTH OGDEN, UT 84414-1938
(801) 387-2800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13593256-4901
UT
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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