Organization
JENNA GORHAM NUTRITION CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA MARIE GORHAM RD (OWNER)
(508) 904-3454
Entity
Organization
Contact information
Practice address
601 NIKLES DR STE 11, BOZEMAN, MT 59715-2570
(508) 904-3454
Mailing address
601 NIKLES DR STE 11, BOZEMAN, MT 59715-2570
(508) 904-3454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
49765
MT
Other
Enumeration date
10/22/2016
Last updated
10/25/2016
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