Individual
JANE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC REG DIETITAN
Contact information
Practice address
164 W 13TH ST, GRAFTON, ND 58237
(701) 352-1620
(701) 352-1671
Mailing address
164 W 13TH ST, GRAFTON, ND 58237
(701) 352-1620
(701) 352-1671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
194
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012794
—
ND
01
—
12794
BCBS ND
ND
Enumeration date
01/24/2007
Last updated
07/08/2007
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