Individual
JODELLE FITZWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
422 CASTLE ROCK ROAD, REEDS SPRING, MO 65737
(417) 230-0554
Mailing address
PO BOX 581, KIMBERLING CITY, MO 65686-0581
(417) 230-0554
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
05/19/2022
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