Individual
MRS. PHYLLIS STELL CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
7907 HONEYWOOD COVE DR, SALT LAKE CITY, UT 84121-5916
(801) 944-0956
Mailing address
7907 HONEYWOOD COVE DR, SALT LAKE CITY, UT 84121-5916
(801) 944-0956
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0000000124
TN
133V00000X
Registered Dietitian
Primary
375264-4901
UT
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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