Individual
LIANE ALICE VADHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LN, CDE
Contact information
Practice address
2600 WILSON ST, MILES CITY, MT 59301-5094
(406) 234-2600
Mailing address
2600 WILSON ST, MILES CITY, MT 59301-5094
(406) 234-2600
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
217
MT
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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