Individual
INGRID JORUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CPT
Contact information
Practice address
7131 MARSEILLE PL NE, ALBUQUERQUE, NM 87122-3329
(505) 596-0651
Mailing address
7131 MARSEILLE PL NE, ALBUQUERQUE, NM 87122-3329
(218) 205-7264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0892
NM
Other
Enumeration date
07/29/2019
Last updated
03/30/2020
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