Individual
KAYLA JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11240 COUNTY ROAD 198, NATHROP, CO 81236-9733
(970) 580-4468
Mailing address
11240 COUNTY ROAD 198, NATHROP, CO 81236-9733
(970) 580-4468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86169085
CO
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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