Individual
KRISHNA D DRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
6156 SHIPSLANDING AVE NW, CANTON, OH 44718-3721
(330) 412-1394
Mailing address
6156 SHIPSLANDING AVE NW, CANTON, OH 44718-3721
(330) 412-1394
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86066888
COMMISION OF DIETETIC REGISTRATION
—
01
—
LD.8173
OHIO MEDICAL BOARD
OH
Enumeration date
09/16/2021
Last updated
09/16/2021
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