Individual
JOELLA CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC
Contact information
Practice address
15 SHANNON LN, SOMERSET, KY 42503-4958
(606) 219-8270
Mailing address
15 SHANNON LN, SOMERSET, KY 42503-4958
(606) 219-8270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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