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RYAN JUEL MS, RDN, ACSM-CPT
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1487207858
Individual Registrant: RYAN JUEL MS, RDN, ACSM-CPT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
204 W GRANT ST HOUSTON, PA 15342-1427 US
Tel: 208-275-9699 Fax: --
Tel: 208-275-9699 Fax: --
Contact information for business:
204 W GRANT ST HOUSTON, PA 15342-1427 US
Tel: 208-275-9699 Fax: --
Tel: 208-275-9699 Fax: --
Registration Information:
NPI: 1487207858
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| COMMISSION ON DIETETIC REGISTRATION | 86105112 | 01 |
