Individual
JERICHA JAYE BAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, MED
Contact information
Practice address
2745 ANNELISE WAY, FORT COLLINS, CO 80525-7635
(513) 379-1343
Mailing address
2745 ANNELISE WAY, FORT COLLINS, CO 80525-7635
(513) 379-1343
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
865210
CO
Other
Enumeration date
01/31/2020
Last updated
02/14/2020
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