STEPHANIE P BERGEN

SALT LAKE CITY, UT
NPI1518570118
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2020-08-25
Last Update Date2020-08-25
Business Address
-- STEPHANIE P BERGEN MS RD CD
1132 E BRYAN AVE APT A
SALT LAKE CITY, UT 84105-2508
Phone number: 802-310-0068
Mailing Address
-- STEPHANIE P BERGEN MS RD CD
1132 E BRYAN AVE APT A
SALT LAKE CITY, UT 84105-2508
Phone number: 802-310-0068