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Individual

ASA TRENT HUMPHERYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
350 S 100 W, LOGAN, UT 84321-5237
(601) 520-4700
Mailing address
350 S 100 W, LOGAN, UT 84321-5237
(601) 520-4700

Taxonomy

Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
86198692
UT

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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