Jennifer Marie Haugen LRD

NPI 1316166614 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1316166614
Gender Female
Enumeration Date 04/25/2007
Last Updated 02/05/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1599 J ST
319 ADS/SGGZZ
GRAND FORKS AFB ND, 58205-6306, US
Phone (701) 747-4501
Fax (701) 747-6904
Business Location
1599 J ST
319 ADS/SGGZZ
GRAND FORKS AFB ND, 58205-6306, US
Phone (701) 747-4501
Fax (701) 747-6904
Toxanomy
Taxonomy Code 133V00000X
License State North Dakota
License Number 613
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According to our database, Mrs. Jennifer Marie Haugen LRD NPI is 1316166614, taxonomy code is 133V00000X and license number is 613, license state is located at North Dakota. Jennifer Marie Haugen LRD physically located at 1599 J St, Grand Forks Afb ND, 58205-6306. NPI Number Jennifer Marie Haugen LRD has the Individual type.

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1316166614 NPI number is provided on an as is basis without warranty of any kind. 1316166614 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Marie Haugen LRD are for informational purposes only.