Individual
LISA PAIGE REDDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CDE
Contact information
Practice address
703 S GRAND AVE, BOZEMAN, MT 59715-5221
(406) 582-0357
(406) 582-5481
Mailing address
703 S GRAND AVE, BOZEMAN, MT 59715-5221
(406) 582-0357
(406) 582-5481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
670839
CA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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