Individual
JESSICA CREHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
11800 E STANLEY RD, SELMA, IN 47383-9375
(765) 405-0289
Mailing address
3212 W RIGGIN RD, MUNCIE, IN 47304-1031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003283A
IN
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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