Individual
JAMIE L DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58102-4421
(701) 234-5884
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
728
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55123
—
ND
Enumeration date
09/20/2007
Last updated
12/27/2007
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