Individual
JULEA B. DIFFENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2516 E DUPONT RD, FORT WAYNE, IN 46825-1608
(260) 458-3725
(260) 458-3726
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: MEGAN FORTNEY, FORT WAYNE, IN 46804-7934
(260) 479-3515
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001035A
IN
Other
Enumeration date
03/17/2016
Last updated
01/18/2017
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