Organization
JORDAN MCCOY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MCCOY MS, RD, RDN, CDCES (OWNER)
(307) 752-7280
Entity
Organization
Contact information
Practice address
618 HEATHER LANE, RANCHESTER, WY 82839
(307) 752-7280
Mailing address
PO BOX 542, DAYTON, WY 82836-0542
(307) 752-7280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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