Individual
MRS. JASON THOMAS NEPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-9895
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-9895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083936
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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