NPI 1992180939

Jill Bayouth

Practitioner Registered Dietetic Technician Longmont, CO

Practice location

Address: 1925 Mountain View Ave, Longmont, CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107

Registered specialties (2)

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1072108 (CO)

Other Dietetic Technician, Registered providers in Colorado →

Registered Dietetic Technician

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 21420304 (CO)

Registry record

NPI: 1992180939
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2015
Record last updated: 26 Aug 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.