ALEXIS BENNETT RD
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1255294419- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RD
- Status
- Active
Contact & Location
- Address
- 1400 N 500 E, LOGAN, UT, 843412455
- Phone
- (435) 716-5439
Specialties & Taxonomies
Dietitian, Registered
Primary License: UT #14048463-4901
All Addresses
MAILING
PO BOX 30180
SALT LAKE CITY, UT, 841300180