Individual
MRS. ROSE MARY JEPSON-SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
500 FOOTHILL DRIVE, GEORGE E. WAHLEN DEPT OF VA MEDICAL CTR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1189 MCCLELLAND ST, SALT LAKE CITY, UT 84105-1850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7781182-4901
UT
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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