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Individual

MRS. JANAI MARIE MEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., IBCLC

Contact information

Practice address
130 CARLANNA LAKE RD LOWR, KETCHIKAN, AK 99901-5611
(907) 220-9920
(907) 220-9925
Mailing address
130 CARLANNA LAKE RD LOWR, KETCHIKAN, AK 99901-5611
(907) 220-9920
(907) 220-9925

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
40
AK
174N00000X
Lactation Consultant (Non-RN)
L-45481
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003924
AK
Enumeration date
07/18/2005
Last updated
07/13/2015
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