Individual
REBECCA PADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1315 DIRECTORS ROW STE 210, FORT WAYNE, IN 46808-1284
(260) 484-6818
Mailing address
2315 INDIAN VILLAGE BLVD, FORT WAYNE, IN 46809-1413
(260) 715-3613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002271
IN
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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