Individual
DARICE COLGLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-5811
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86156732
—
KS
Enumeration date
02/24/2020
Last updated
02/24/2020
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