Individual
PATRICE H ISABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1448 BRYAN AVE, SALT LAKE CITY, UT 84105-2650
(801) 718-2997
Mailing address
1448 BRYAN AVE, SALT LAKE CITY, UT 84105-2650
(801) 718-2997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
104691-4901
UT
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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