Individual
MRS. JENNIFER JAYLENE LEEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. , C.D.E.
Contact information
Practice address
1501 N CAMPBELL AVE, SUPPORT SERVICES, ROOM 0430, TUCSON, AZ 85724-0001
(520) 694-0116
Mailing address
1501 N CAMPBELL AVE, SUPPORT SERVICES PO BOX 245088, ROOM 0430, TUCSON, AZ 85724-0001
(520) 694-0116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419943
—
AZ
Enumeration date
03/09/2009
Last updated
09/13/2021
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