MRS. Jennifer Caudell

NPI #1356663090 in Belleville, Illinois

Provider Information

NPI Number: 1356663090
Entity Type: Individual
Name: MRS. Jennifer Caudell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 22, 2010
Last Updated: Feb 22, 2010

Practice Location

Address: 2271 HAVERFORD DR
City: Belleville
State: Illinois
ZIP Code: 62221-7994
Phone: (618) 310-3639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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