Individual
MRS. JODY LYNN DRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE, ACSM EP-C
Contact information
Practice address
459 N GILBERT RD STE C110, GILBERT, AZ 85234-4755
(480) 393-3021
Mailing address
1474 ETHAN ALLEN HWY, CHARLOTTE, VT 05445-9569
(802) 881-2936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305089
—
AZ
Enumeration date
11/05/2007
Last updated
03/18/2019
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