Organization
CONNER YODER NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONNER YODER RDN, LD (REGISTERED DIETITIAN)
(260) 479-0080
Entity
Organization
Contact information
Practice address
9804 ACACIA PSGE, FORT WAYNE, IN 46835-9143
(260) 479-0080
Mailing address
9804 ACACIA PSGE, FORT WAYNE, IN 46835-9143
(260) 479-0080
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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