Individual
BAILIE MARIE MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5187 W SPLIT ROCK DR, SOUTH JORDAN, UT 84009-6218
(509) 405-7952
Mailing address
5187 W SPLIT ROCK DR, SOUTH JORDAN, UT 84009-6218
(509) 405-7952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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