Jeanna Beth Janssen
Dietitian, Registered in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1982117933
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1982117933
- Entity type
- Individual (NPI-1)
- Name
- Jeanna Beth Janssen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
Phone 641-780-9719
Mailing address
1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
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