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Individual
JESSICA L BETTICK
Active
Individual
JESSICA L BETTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
994986
COMMISSION ON DIETETIC REGISTRATION- ACADEMY OF NUTRITION AND DIETETICS
MI
Enumeration date
01/11/2016
Last updated
01/11/2016
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