| Doctor Name: | MS. MARIA RITA BALLESTEROS |
| NPI Number: | 1053427211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, RD, MS |
| License Number: | 358712-4901 |
| Business Practice Address: | 615 Arapeen Dr Ste 100 Slc, UT - 841081239 |
| Business Phone Number: | 8015873963 |
| Business Fax Number: | 8015873930 |
| Mailing Address: | 615 Arapeen Dr Ste 100, SLC |
| State: | UT |
| Postal Code: | 841081239 |
| Phone Number: | 8015873963 |
| Fax Number: | 8015873930 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 04/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 358712-4901 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |