Tayla Russell

NPI #1346776184 in Mantua, Utah

Provider Information

NPI Number: 1346776184
Entity Type: Individual
Name: Tayla Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 185 W 600 N
City: Mantua
State: Utah
ZIP Code: 84324-4398
Phone: (435) 553-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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