Individual
BRYCE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4145 BROOKDALE LN UNIT 7, DAYTON, OH 45440-3598
(567) 208-7680
Mailing address
4145 BROOKDALE LN UNIT 7, DAYTON, OH 45440-3598
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
09986
OH
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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