Individual
JILLIAN BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE, LD
Contact information
Practice address
732 N 22ND ST, SUITE 107, OZARK, MO 65721-8662
(417) 230-1656
(417) 230-1656
Mailing address
903 S 3RD AVE, OZARK, MO 65721-7706
(417) 230-1656
(417) 230-1656
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004036689
MO
Other
Enumeration date
03/27/2010
Last updated
11/02/2010
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