Jordan Camille Dansereau, RDN, IBCLC

NPI #1992428809 in Hayden, Idaho

Provider Information

NPI Number
1992428809
Entity Type
Individual
Name
Jordan Camille Dansereau, RDN, IBCLC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RDN, IBCLC
Enumeration Date
Sep 26, 2022
Last Updated
Jun 24, 2025

Practice Location

Address
8500 N ATLAS RD
City
Hayden
State
Idaho
ZIP Code
83835-8332
Phone
(208) 415-5284

Specialties & Taxonomy Codes

Specialty
Lactation Consultant, Non-RN
Dietitian, Registered

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