Individual
MARLEY JORDAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
629 ELATI ST, DENVER, CO 80204-4535
(864) 380-9754
Mailing address
629 ELATI ST, DENVER, CO 80204-4535
(864) 380-9754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86104713
MI
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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