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Individual

MRS. JESSICA BAILEY ASHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
144 W 2060 N APT 226, PROVO, UT 84604-7615
(919) 901-9912
Mailing address
144 W 2060 N APT 226, PROVO, UT 84604-7615
(919) 901-9912

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12165038-4901
UT
133V00000X
Registered Dietitian

Other

Enumeration date
02/17/2021
Last updated
02/18/2021
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