Individual
ADALYN SAGE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
128 S 1350 E, HYRUM, UT 84319-2029
(435) 200-9319
(435) 214-2247
Mailing address
128 S 1350 E, HYRUM, UT 84319-2029
(435) 200-9319
(435) 214-2247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12949962-4901
UT
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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