Individual
MRS. JILL SUZANNE CLODFELTER-MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2031 EAGLEBROOKE PKWY, CELINA, OH 45822-9396
(317) 914-3049
Mailing address
6637 GRANNY SMITH LN, AVON, IN 46123-7503
(317) 914-3049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002740A
IN
Other
Enumeration date
11/25/2019
Last updated
05/15/2020
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