Individual
MIRANDA ROBERTSON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
804 E CEDAR PINE CT APT 21, SALT LAKE CITY, UT 84106-4605
(208) 260-2467
Mailing address
804 E CEDAR PINE CT APT 21, SALT LAKE CITY, UT 84106-4605
(208) 260-2467
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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