Individual
KAMMI MARIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
7250 11TH STREET BLDG 533, HILL AFB, UT 84056
(801) 586-6022
Mailing address
1266 E 3125 N, LAYTON, UT 84040-6515
(435) 760-7338
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
369887-4901
UT
Other
Enumeration date
01/16/2007
Last updated
11/20/2007
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