Individual
SAMANTHA JO ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
117 VANDEN ST APT 303, JACKSON, TN 38301-5638
(615) 772-6333
Mailing address
117 VANDEN ST APT 303, JACKSON, TN 38301-5638
(615) 772-6333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000003406
TN
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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