Individual
ANTHONY JOHN ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 S 500 W, SALT LAKE CITY, UT 84115-5149
(865) 210-2628
Mailing address
1420 S 500 W, SALT LAKE CITY, UT 84115-5149
(865) 210-2628
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
11799532-4901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86097524
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
07/14/2021
Last updated
07/14/2021
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