Individual
SOPHIA MAE TANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-5399
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12110592-4901
UT
Other
Enumeration date
04/01/2025
Last updated
01/08/2026
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