Individual
JACQUELINE A. M. DAUGHTRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7753
Mailing address
2786 SOUTHMEADE AVE, MEMPHIS, TN 38127-4877
(901) 353-5474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN1186
TN
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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