Individual
NICOLE BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1246 31ST ST, OGDEN, UT 84403-0947
(219) 510-3935
Mailing address
1246 31ST ST, OGDEN, UT 84403-0947
(219) 510-3935
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11812560-4901
UT
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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