MRS. Jill Lynette Griesbaum, MS, RD
NPI #1003837162 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1003837162
- Entity Type
- Individual
- Name
- MRS. Jill Lynette Griesbaum, MS, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 600 N MAIN ST
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-1004
- Phone
- (417) 466-0187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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