Individual
MIRANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/RDN
Contact information
Practice address
3741 W 12600 S STE 470, RIVERTON, UT 84065-7215
(801) 285-4000
Mailing address
463 S 750 E, OREM, UT 84097-4414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100447
UT
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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