Individual
JENNA DYCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
134 W 1309 S, LOGAN, UT 84321-8243
(385) 229-2800
Mailing address
134 W 1309 S, LOGAN, UT 84321-8243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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