Individual
ASHLEY OUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RDN, CD
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2679
(574) 364-2965
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002775A
IN
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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