DR. Jennifer Diane Southard, N.D.

NPI #1356646343 in Indialantic, Florida

Provider Information

NPI Number: 1356646343
Entity Type: Individual
Name: DR. Jennifer Diane Southard, N.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Naturopath
Credential: N.D.
Enumeration Date: Jan 21, 2011
Last Updated: Jan 21, 2011

Practice Location

Address: 105 S RIVERSIDE DR
Address 2: SUITE 131
City: Indialantic
State: Florida
ZIP Code: 32903-4365
Phone: (321) 409-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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