Individual
MRS. STACY LYN BEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
478 S 750 E, RIVER HEIGHTS, UT 84321-4490
(435) 764-4907
Mailing address
478 S 750 E, RIVER HEIGHTS, UT 84321-4490
(435) 764-4907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
UT
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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