Individual
JILL ASHLEY TROTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-4030
(417) 836-4075
Mailing address
5261 S NEWTON AVE, SPRINGFIELD, MO 65810-3404
(417) 773-4212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2012005199
MO
Other
Enumeration date
02/12/2020
Last updated
02/26/2020
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