Individual
CANDACE JAYNE BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
55 W WATERLOO RD, AKRON, OH 44319-1116
(330) 724-7715
(330) 724-1029
Mailing address
55 W WATERLOO RD, AKRON, OH 44319-1116
(330) 724-7715
(330) 724-1029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L1594
OH
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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