Individual
JAY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
325 HOLLY GROVE RD, LEWIS CENTER, OH 43035-8721
(419) 330-9215
Mailing address
325 HOLLY GROVE RD, LEWIS CENTER, OH 43035-8721
(419) 330-9215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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