BROOKLYNN JACKSON

PROVO, UT
NPI1841160132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  14248968-4901)
Enumeration Date2025-11-11
Last Update Date2025-11-11
Business Address
BROOKLYNN JACKSON
647 E 400 S
PROVO, UT 84606-5064
Phone number: 360-607-6306
Mailing Address
BROOKLYNN JACKSON
647 E 400 S
PROVO, UT 84606-5064
Phone number: