Individual
MISS ASHLEY DIANE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 291-5697
Mailing address
100 MERCY WAY, SUITE 580, JOPLIN, MO 64804-4524
(417) 291-5697
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2013015411
MO
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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