Individual
JILL L COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2260
(802) 728-2613
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2260
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
967767
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
967767
DIETETIC REGISTRATION
VT
Enumeration date
07/02/2007
Last updated
07/08/2007
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