Individual
MRS. CHERYL L JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 454-7722
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 454-7722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-613
ID
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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