Individual
MRS. JILL SPANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5917
OH
133V00000X
Registered Dietitian
639
WV
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972651628
—
WV
01
—
916493
DIETITIAN REGISTRY
—
Enumeration date
01/08/2007
Last updated
03/18/2020
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