Individual
BRADY JITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 COOK AVE, JONESBORO, IL 62952-1101
(720) 576-9480
Mailing address
310 COOK AVE, JONESBORO, IL 62952-1101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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