Individual
MRS. GINA R WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD, CDE
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1142
(801) 807-1000
Mailing address
253 W 1900 S, CLEARFIELD, UT 84015-4310
(801) 775-9819
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5245302-4901
UT
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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