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Individual

JACIE AMANDA HUNTINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LN

Contact information

Practice address
315 W 300 S, HUNTINGTON, UT 84528-5542
(406) 272-2345
Mailing address
PO BOX 490, HUNTINGTON, UT 84528-0490

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/03/2023
Last updated
06/09/2026
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