Individual
TINA JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
(920) 869-1782
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
(920) 869-1782
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2063
WI
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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