Jerilyn R Abba

NPI #1487725172 in Ripon, Wisconsin

Provider Information

NPI Number: 1487725172
Entity Type: Individual
Name: Jerilyn R Abba
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Nov 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 933 NEWBURY ST
City: Ripon
State: Wisconsin
ZIP Code: 54971-1730
Phone: (920) 748-9495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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