Marley Jordan Wade, RD
Dietitian, Registered in Denver, CO. Individual provider (NPI-1).
NPI number1437726288
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1437726288
- Entity type
- Individual (NPI-1)
- Name
- Marley Jordan Wade
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2021
- Certification date
- Feb 18, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86104713 | MI | Yes |
Practice location
629 Elati StDenver, CO 80204-4535
Phone 864-380-9754
Mailing address
629 Elati StDenver, CO 80204-4535
Phone 864-380-9754
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