Jason Edwards, LICENSED DIETITIAN

NPI #1467586222 in Salem, Missouri

Provider Information

NPI Number
1467586222
Entity Type
Individual
Name
Jason Edwards, LICENSED DIETITIAN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
LICENSED DIETITIAN
Enumeration Date
Mar 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
HWY 72 NORTH
City
Salem
ZIP Code
65560-0774
Phone
(573) 729-6626

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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