Tina R Wood MS, RD, LD

NPI 1285848465 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1285848465
Gender Female
Enumeration Date 05/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1125 MADISON ST
JEFFERSON CITY MO, 65101-5227, US
Phone (573) 632-5192
Fax (573) 632-5879
Business Location
909 AMETHYST LN
JEFFERSON CITY MO, 65109-6854, US
Phone (573) 634-7873
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Missouri
License Number 2001023574
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According to our database, Mrs. Tina R Wood MS, RD, LD NPI is 1285848465, taxonomy code is 133V00000X and license number is 2001023574, license state is located at Missouri. Tina R Wood MS, RD, LD physically located at 1125 Madison St, Jefferson City MO, 65101-5227. NPI Number Tina R Wood MS, RD, LD has the Individual type.

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1285848465 NPI number is provided on an as is basis without warranty of any kind. 1285848465 is maintained by the National Plan & Provider Enumeration System. The contents of Tina R Wood MS, RD, LD are for informational purposes only.