THERESA E DVORAK

SALT LAKE CITY, UT
NPI1497230734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  6317644-4901)
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
THERESA E DVORAK RD
3334 E FORTUNA DR
SALT LAKE CITY, UT 84124-5616
Phone number: 970-420-9338
Mailing Address
THERESA E DVORAK RD
3334 E FORTUNA DR
SALT LAKE CITY, UT 84124-5616
Phone number: 970-420-9338