Individual
MRS. JEANNA MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
615 AVENUE K, POWELL, WY 82435-1712
(307) 754-8231
Mailing address
615 AVENUE K, POWELL, WY 82435-1712
(307) 754-8231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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