Jessica Mallory

NPI #1376282509 in Logan, Utah

Provider Information

NPI Number: 1376282509
Entity Type: Individual
Name: Jessica Mallory
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 4, 2022
Last Updated: Jun 4, 2022

Practice Location

Address: 1400 N 500 E
City: Logan
State: Utah
ZIP Code: 84341-2455
Phone: (435) 716-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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