Organization
SUSTAINED ROOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JANTZ RDN, LDN, CDCES (OWNER)
(619) 866-8084
Entity
Organization
Contact information
Practice address
1208 NW 112TH TER, KANSAS CITY, MO 64155-3686
(816) 226-6605
Mailing address
1208 NW 112TH TER, KANSAS CITY, MO 64155-3686
(816) 226-6605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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