Individual
ANGIE ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LRD, CLC
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1762
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1564
ND
Other
Enumeration date
09/14/2012
Last updated
05/07/2026
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