Individual
RACHEL MADISON CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(208) 716-8124
Mailing address
6191 CLEARWATER DR, IDAHO FALLS, ID 83406-8209
(208) 716-8124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13469149-4901
UT
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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