Individual
JESSICA NAN CLARKE RADABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 688-6251
Mailing address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 688-6251
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09144
OH
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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