Individual
KRISTINA GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043-4999
(385) 345-3000
Mailing address
13568 S FIREBACK DR, RIVERTON, UT 84065-4505
(360) 600-5498
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
52823984901
UT
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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