Individual
JULIA RENEE THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
295 S CHIPETA WAY DEPT OF, SALT LAKE CITY, UT 84108-1287
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
10994134-4901
UT
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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