Individual
LOUISE G JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
6567 POPLAR WOODS CIR S, # 1, GERMANTOWN, TN 38138-0640
(901) 755-6785
Mailing address
6567 POPLAR WOODS CIR S, # 1, GERMANTOWN, TN 38138-0640
(901) 755-6785
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
412128
TN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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