Susan Jean Tietjen, RN, IBCLC

NPI #1962711275 in Ogden, Utah

Provider Information

NPI Number: 1962711275
Entity Type: Individual
Name: Susan Jean Tietjen, RN, IBCLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Credential: RN, IBCLC
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 5475 S 500 E
City: Ogden
State: Utah
ZIP Code: 84405-6905
Phone: (801) 479-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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