Individual
MICAH BERGSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1606 E 2700 S, SALT LAKE CITY, UT 84106-3639
(805) 341-1618
Mailing address
1606 E 2700 S, SALT LAKE CITY, UT 84106-3639
(805) 341-1618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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