GRANT HYRUM CEFALO

LOGAN, UT
NPI1659625135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  6045445-4901)
Enumeration Date2012-11-05
Last Update Date2014-10-22
Business Address
-- GRANT HYRUM CEFALO RD
1350 N 500 E
LOGAN, UT 84341
Phone number: 435-452-1844
Mailing Address
-- GRANT HYRUM CEFALO RD
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-452-1844