Individual
MISS JENNIFER ANNE WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CED-S, CSSD
Contact information
Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(801) 442-2615
Mailing address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(435) 901-0644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12044801-4901
UT
Other
Enumeration date
11/29/2010
Last updated
08/28/2023
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