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Individual
KRISTA M BLACKWELL
Active
Individual
KRISTA M BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3652
MD
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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