Individual
MEGHAN WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
14 S WILLSON AVE, BOZEMAN, MT 59715-6232
(406) 219-8462
Mailing address
1902 W KOCH ST, BOZEMAN, MT 59718-4039
(505) 793-2826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-49830
MT
Other
Enumeration date
08/19/2013
Last updated
12/05/2016
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