Individual
CHELSIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
10015 W CARR ST, WICHITA, KS 67209-1905
(831) 277-0432
Mailing address
10015 W CARR ST, WICHITA, KS 67209-1905
(831) 277-0432
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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