Individual
JESSICA DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE # 1267, FORT LEONARD WOOD, MO 65473-9098
(573) 569-0417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0923
NH
Other
Enumeration date
01/02/2019
Last updated
02/21/2023
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