Individual
BROOKE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
8TH AVE C ST E, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13581310-4901
UT
Other
Enumeration date
05/21/2024
Last updated
01/22/2025
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