Individual
MRS. TRAYCE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, RDN,CSP, LD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3816
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
4762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4762
OHIO MEDICAL BOARD
OH
Enumeration date
02/28/2023
Last updated
02/28/2023
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