Individual
MISS JESSICA GRACE ANDERSON
Active
Individual
MISS JESSICA GRACE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CSSD,LD,EPC
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
08619
OH
133N00000X
Nutritionist
Primary
L007668
NC
133V00000X
Registered Dietitian
LD.08619
OH
Other
Enumeration date
04/25/2019
Last updated
03/20/2025
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