Individual
MS. AMANDA K IHMELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-5709
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
777
ND
Other
Enumeration date
01/14/2010
Last updated
04/11/2012
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