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MS. JANE A FAITH RDLD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1336191774

Individual Registrant:
MS. JANE A FAITH RDLD
Gender: F

Location and contact information for practice:
RR 3 BOX 31  VANCEBURG, KY 41179-9719 US
Tel: 606-796-3029  Fax: 606-796-6221

Contact information for business:
PO BOX 550  VANCEBURG, KY 41179-0550 US
Tel: 606-796-3029  Fax: 606-796-6221

Registration Information:
NPI: 1336191774
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
KYKY-0048

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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