Individual
MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5323
(801) 662-5300
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5323
(801) 662-5300
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
10433-4901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133VN1004X
NUTRITION, PEDIATRIC
UT
Enumeration date
08/07/2012
Last updated
08/07/2012
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