Individual
RYAN JUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, ACSM-CPT
Contact information
Practice address
204 W GRANT ST, HOUSTON, PA 15342-1427
(208) 275-9699
Mailing address
204 W GRANT ST, HOUSTON, PA 15342-1427
(208) 275-9699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86105112
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
07/24/2019
Last updated
07/24/2019
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