Individual
JODY BALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, RDN
Contact information
Practice address
22 MILL ST, UNIONTOWN, PA 15401-3237
(724) 322-8705
Mailing address
22 MILL ST, UNIONTOWN, PA 15401-3237
(724) 322-8705
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004938
PA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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