Individual
COURTNEY LYN WEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
569 S LAKE VIEW DR, MANTUA, UT 84324-4423
(928) 231-1619
Mailing address
569 S LAKE VIEW DR, MANTUA, UT 84324-4423
(928) 231-1619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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