Individual
JESSIE GENIEL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
226 E 500 N, LOGAN, UT 84321-4129
(801) 660-9675
Mailing address
226 E 500 N, LOGAN, UT 84321-4129
(801) 660-9675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
UT
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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