Individual
REBECKA ANDERSON BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
8790 SOUTH 300 WEST, PARADISE, UT 84328-0154
(435) 760-2538
Mailing address
PO BOX 154, PARADISE, UT 84328-0154
(435) 760-2538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9040610-4901
UT
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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