Individual
JODI SELKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 416-3263
(260) 416-3304
Mailing address
2520 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 416-3263
(260) 416-3304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002446A
IN
133V00000X
Registered Dietitian
LD.6341
OH
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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