Individual
MRS. JESSICA CRUMP ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
26 FARLEY LN, ALVATON, KY 42122-8616
Mailing address
26 FARLEY LN, ALVATON, KY 42122-8616
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
123108
KY
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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