Individual
MRS. AMANDA JO JOCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.M.N.T.
Contact information
Practice address
3410 N 156TH ST, OMAHA, NE 68116
(402) 493-0390
(402) 445-0031
Mailing address
3410 N 156TH ST, OMAHA, NE 68116
(402) 493-0390
(402) 445-0031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806 (STATE)
NE
133V00000X
Registered Dietitian
85007536 (NATIONAL)
NE
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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