Individual
JESSICA RENE BAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, RDN, LD
Contact information
Practice address
2956 COUNTY ROAD 124, CHESAPEAKE, OH 45619-7846
(304) 521-7852
Mailing address
2956 COUNTY ROAD 124, CHESAPEAKE, OH 45619-7846
(304) 521-7852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
09903
OH
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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