Individual
JILLIAN PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSR, LD
Contact information
Practice address
1811 COFFMAN ST, BARBOURSVILLE, WV 25504-2023
(304) 617-4067
Mailing address
1811 COFFMAN ST, BARBOURSVILLE, WV 25504-2023
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
969
WV
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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