Individual
MR. JASON DANIEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6629
OH
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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