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Individual

MRS. KIMBERLY RHEA LANTING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
3325 POCAHONTAS RD, ST. ELIZABETH HEALTH SERVICES, BAKER CITY, OR 97814
(541) 523-8120
Mailing address
26951 SUMMIT PRAIRIE RD, PRAIRIE CITY, OR 97869-8208
(541) 820-4615

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
924524
ID

Other

Enumeration date
10/23/2009
Last updated
10/28/2009
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