Individual
MRS. LINDY CAROL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
25117 HIGHWAY 15, UNION, MS 39365-9088
(601) 774-8214
Mailing address
1414 ALANA DR, TERRY, MS 39170-8550
(601) 506-6098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0998
MS
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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