Individual
JENNIFER LYNN BEDNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
740
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55315
—
ND
Enumeration date
10/01/2008
Last updated
04/26/2012
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