| |
10479 Taylor Rd Sw, Etna, OH 43068-3252 | |
(614) 425-4213 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 10479 Taylor Rd Sw, Etna, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1558828541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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86 Jefferson Ridge Dr, Pataskala, OH 43062-7532 Ph: (614) 425-4213 | 10479 Taylor Rd Sw, Etna, OH 43068-3252 Ph: (614) 425-4213 |
Nijya Noble, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10479 Taylor Rd Sw, Etna, OH 43068 Phone: 614-425-4213 |