Individual
JAN WASMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1837 CAROL LYNN DR, KOKOMO, IN 46901-3279
(765) 513-9307
Mailing address
1837 CAROL LYNN DR, KOKOMO, IN 46901-3279
(765) 513-9307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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