| NPI | 1881070936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER ANN BAILEY Owner 801-815-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 6784233-4901) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-08-24 |