Individual
MRS. MEGAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
2721 E ROMEO DR, MERIDIAN, ID 83642-5297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-606
ID
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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