Jordan Bontrager, RD LMNT

NPI #1477184018 in Omaha, Nebraska

Provider Information

NPI Number: 1477184018
Entity Type: Individual
Name: Jordan Bontrager, RD LMNT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: RD LMNT
Enumeration Date: Feb 3, 2020
Last Updated: Sep 28, 2023

Practice Location

Address: 6829 N 72ND ST STE 4500
City: Omaha
State: Nebraska
ZIP Code: 68122-1724
Phone: (402) 717-1299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary
Dietitian, Registered	133V00000X

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