Organization
INTEGRATED RD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA L MARTIN MS.RDN,LD (REGISTERED DIEITIAN)
(320) 237-5952
Entity
Organization
Contact information
Practice address
19128 66TH AVE N, CORCORAN, MN 55340-2001
(320) 237-5952
Mailing address
19128 66TH AVE N, CORCORAN, MN 55340-2001
(320) 237-5952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
Update your record
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