JONATHAN WYMORE

ALBANY, OR
NPI1912449919
Professional NameJONATHAN DOUGLAS WYMORE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  LDD10175002)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
MR. JONATHAN WYMORE RD, LD
620 ELM ST SW # 2
ALBANY, OR 97321-1986
Phone number: 541-812-4839
Mailing Address
MR. JONATHAN WYMORE RD, LD
620 ELM ST SW # 2
ALBANY, OR 97321-1986
Phone number: 541-812-4839