Individual
JANA LEGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
4186 US HIGHWAY 141, ABRAMS, WI 54101-9750
(920) 621-0854
Mailing address
4186 US HIGHWAY 141, ABRAMS, WI 54101-9750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5142
WI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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