Individual
JENNIFER COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 444-2189
(406) 447-2703
Mailing address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 444-2189
(406) 447-2703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-372
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
726685
RD REGISTRATION NUMBER
—
Enumeration date
12/01/2017
Last updated
12/01/2017
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