Individual
MR. JEREMY MICHAEL PARTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
8625 LIBERTY PARK DR STE 102, BAKERSFIELD, CA 93311-1381
(314) 603-0949
Mailing address
6600 WHITE LN APT 55, BAKERSFIELD, CA 93309-7783
(314) 603-0949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2017005239
MO
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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