SHANNON MARY BARHAM

PROVO, UT
NPI1295438562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  13196645-4901)
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
SHANNON MARY BARHAM RD
270 N 1080 E
PROVO, UT 84606-3518
Phone number: 385-539-2122
Mailing Address
SHANNON MARY BARHAM RD
270 N 1080 E
PROVO, UT 84606-3518
Phone number: 385-539-2122
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