Individual
DANIELLE BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
13061 MONTGOMERY RD, FREDERICKTOWN, OH 43019-9771
(734) 770-9524
Mailing address
4590 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4327
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09249
OH
Other
Enumeration date
09/21/2020
Last updated
01/22/2025
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