Individual
ANNA SIGRID EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7361
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
229
WY
Other
Enumeration date
12/19/2019
Last updated
01/23/2021
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