Individual
JENNY LYNETTE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
150 W 100 N, VERNAL, UT 84078-2036
(435) 781-6874
(435) 781-6886
Mailing address
33 PARK CIR, VERNAL, UT 84078-4805
(435) 828-5414
(435) 781-6886
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10877
UT
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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