MR. Xavier Jacob Lee Pearson, MS, RD, LD, CNSC

NPI #1316674609 in Bolivar, Missouri

Provider Information

NPI Number: 1316674609
Entity Type: Individual
Name: MR. Xavier Jacob Lee Pearson, MS, RD, LD, CNSC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD, LD, CNSC
Enumeration Date: Aug 5, 2022
Last Updated: Aug 5, 2022

Practice Location

Address: 1500 N OAKLAND AVE
City: Bolivar
State: Missouri
ZIP Code: 65613-3011
Phone: (417) 328-6462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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