Individual
MRS. JACQUELYN RAE CONTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
500 FOOTHILL DR. (120), SALT LAKE CITY, UT 84148
(801) 582-1565
Mailing address
259 E WESTMINSTER AVE, SALT LAKE CITY, UT 84115-2167
(334) 447-3643
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9588305-4901
UT
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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