Individual
JANAE KINIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
828 W 4350 S, RIVERDALE, UT 84405-3426
(385) 244-9573
Mailing address
828 W 4350 S, RIVERDALE, UT 84405-3426
(385) 244-9573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101171
—
Other
Enumeration date
07/30/2019
Last updated
11/23/2020
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