Individual
REBECCA DAWN CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1980
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(435) 792-1980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8420954-4901
UT
Other
Enumeration date
10/20/2022
Last updated
06/09/2023
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