Individual
MS. SUSAN MAE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
700 WEST GROVE, EL DORADO, AR 71730
(879) 864-3474
Mailing address
2821 CHAFFIN LANE, MAGNOLIA, AR 71753
(870) 299-1354
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
888
AR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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