Individual
GRANT HYRUM CEFALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341
(435) 452-1844
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 452-1844
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6045445-4901
UT
Other
Enumeration date
11/05/2012
Last updated
10/22/2014
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