Individual
MRS. JEANIA DIANE BYERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 760-8065
Mailing address
HC 69 BOX 2100, IRONTON, MO 63650-9601
(573) 546-7548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2006019982
MO
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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