Individual
JAMI BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
4219 E 85TH ST N, VALLEY CENTER, KS 67147
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000787
KS
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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