Individual
HANNAH REBECCA CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
908 HILLCREST DR, SPRINGVILLE, UT 84663-2149
(385) 215-9458
Mailing address
908 HILLCREST DR, SPRINGVILLE, UT 84663-2149
(385) 215-9458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8853097-4901
UT
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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