IRENE CARLA TAN

SALT LAKE CITY, UT
NPI1821967878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  86292459)
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
IRENE CARLA TAN RD
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-583-2787
Mailing Address
IRENE CARLA TAN RD
2838 S KELTIC CT
WEST VALLEY CITY, UT 84128-2708
Phone number: 801-448-2736