Jennifer L Bass, RD

NPI #1205180379 in Shenandoah, Iowa

Provider Information

NPI Number: 1205180379
Entity Type: Individual
Name: Jennifer L Bass, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Oct 29, 2012
Last Updated: Oct 29, 2012

Practice Location

Address: 512 S FREMONT ST
City: Shenandoah
State: Iowa
ZIP Code: 51601-1508
Phone: (712) 246-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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