Individual
MS. PAIGE MARIE VANROSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2178
Mailing address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
114156
MT
Other
Enumeration date
06/15/2023
Last updated
08/10/2023
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