Individual
JORDAN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6358 LAKESHORE DR, DALLAS, TX 75214-3612
(940) 435-5601
Mailing address
6358 LAKESHORE DR, DALLAS, TX 75214-3612
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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