Individual
IRENE CARLA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
500 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1221
(801) 583-2787
Mailing address
2838 S KELTIC CT, WEST VALLEY CITY, UT 84128-2708
(801) 448-2736
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292459
UT
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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