Individual
KAITLYN DAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD,LD
Contact information
Practice address
3949 S SCHENLEY AVE, YOUNGSTOWN, OH 44511-3428
(330) 883-1409
Mailing address
3949 S SCHENLEY AVE, YOUNGSTOWN, OH 44511-3428
(330) 883-1409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
08359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86058576
COMMISSION ON DIETETIC REGISTRATION
—
01
—
LD.08359
OHIO MEDICAL BOARD
OH
Enumeration date
08/31/2020
Last updated
08/31/2020
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