Susan A Jordan, REGISTERED DIETITION

NPI #1073613709 in Crow Agency, Montana

Provider Information

NPI Number
1073613709
Entity Type
Individual
Name
Susan A Jordan, REGISTERED DIETITION
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
REGISTERED DIETITION
Enumeration Date
Sep 23, 2006
Last Updated
Apr 10, 2008

Practice Location

Address
1010 SOUTH
Address 2
7650 EAST
State
Montana
ZIP Code
59022-0022
Phone
(406) 638-3553

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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