Most Relevant Information
Provider Data
| NPI Number: | 1003417841 |
| Provider Name: | JENNIFER AKIKO WANBERG MS, RD, LD, ACE-CPT |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 3227T |
Most Important Dates
| Enumeration Date: | 11/06/2020 |
| Last Updated: | 09/07/2021 |
Provider Practice Location
50 COTTONWOOD SPRINGS RD
COLUMBUS
MT
590197483
Practice Location Phone/Fax
| Phone: | 7202569843 |
| Fax: |
Provider Mailing Location
50 COTTONWOOD SPRINGS RD
COLUMBUS
MT
590197483
Provider Mailing Phone/Fax
| Phone: | 7202569843 |
| Fax: |