Individual
MRS. RACHEL JACLYN OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD/N
Contact information
Practice address
2115 JUDGE CARDEN BLVD, CRESTWOOD, KY 40014-7805
(904) 859-2998
Mailing address
2115 JUDGE CARDEN BLVD, CRESTWOOD, KY 40014-7805
(904) 859-2998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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