Individual
MRS. JACIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
5716 MAPLEWOOD DR, OGDEN, UT 84405-4825
(801) 648-5337
(801) 395-1963
Mailing address
5716 MAPLEWOOD DR, OGDEN, UT 84405-4825
(801) 648-5337
(801) 395-1963
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6046054-4901
UT
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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