Staci L Freeworth, MNT

NPI #1043217995 in Oregon, Ohio

Provider Information

NPI Number: 1043217995
Entity Type: Individual
Name: Staci L Freeworth, MNT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dietitian, Registered
Credential: MNT
Enumeration Date: Jul 7, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2801 BAY PARK DR
City: Oregon
State: Ohio
ZIP Code: 43616-4920
Phone: (419) 690-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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