Individual
JESSICA LYN BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2710 S WASHINGTON, SUITE 100, LANSING, MI 48910
(517) 272-1380
(517) 272-1384
Mailing address
117 W NORTHRUP ST, LANSING, MI 48911-3702
(517) 331-6669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/15/2015
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