Jennifer Southard MS, RD/LD

NPI 1093087355 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093087355
Gender Female
Enumeration Date 02/02/2012
Last Updated 02/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
901 N PORTER AVE
NORMAN OK, 73071-6404, US
Phone (405) 307-2175
Fax
Business Location
901 N PORTER AVE
NORMAN OK, 73071-6404, US
Phone (405) 307-2175
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Oklahoma
License Number 1720
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According to our database, Mrs. Jennifer Southard MS, RD/LD NPI is 1093087355, taxonomy code is 133V00000X and license number is 1720, license state is located at Oklahoma. Jennifer Southard MS, RD/LD physically located at 901 N Porter Ave, Norman OK, 73071-6404. NPI Number Jennifer Southard MS, RD/LD has the Individual type.

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1093087355 NPI number is provided on an as is basis without warranty of any kind. 1093087355 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Southard MS, RD/LD are for informational purposes only.