DAWSON VIDALETO CROXALL

SALT LAKE CITY, UT
NPI1326753245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  86277405)
Enumeration Date2023-01-16
Last Update Date2023-06-20
Business Address
Mr. DAWSON VIDALETO CROXALL RD
175 N HAROLD ST APT 433
SALT LAKE CITY, UT 84116-3393
Phone number: 801-793-5789
Mailing Address
Mr. DAWSON VIDALETO CROXALL RD
365 W PAXTON AVE UNIT 414
SALT LAKE CITY, UT 84101-3264
Phone number: