JORDAN CAMILLE DANSEREAU RDN, IBCLC
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1992428809- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RDN, IBCLC
- Status
- Active
Contact & Location
- Address
- 8500 N ATLAS RD, HAYDEN, ID, 838358332
- Phone
- (208) 415-5284
Specialties & Taxonomies
Lactation Consultant, Non-RN
#L-316372
Dietitian, Registered
Primary #86210366