Individual
JORDAN ANNE HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 2ND ST E STE B20, KALISPELL, MT 59901-4563
(406) 407-9703
Mailing address
30 2ND ST E STE B20, KALISPELL, MT 59901-4563
(406) 407-9703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121085
MT
133V00000X
Registered Dietitian
L005275
NC
Other
Enumeration date
03/14/2022
Last updated
05/30/2024
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