Individual
JILLIAN ROSE PEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5130 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-2837
(928) 773-2054
Mailing address
927 W FOREST MEADOWS ST APT 320, FLAGSTAFF, AZ 86001-8510
(714) 393-8867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117753
CA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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