NPI 1013386457

Jamie Withrow, RDLDCDE

Practitioner Registered Dietetic Technician Crosby, MN

Practice location

Address: 320 E Main St, Crosby, MN 56441-1645
Phone: (218) 546-7000

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1087979 (MN)

Other Dietetic Technician, Registered providers in Minnesota →

Registry record

NPI: 1013386457
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2015
Record last updated: 16 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.