Individual
MRS. JESSICA MARIE LEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, R.D., L.D.N.
Contact information
Practice address
3364 POPLAR AVE STE 102F, MEMPHIS, TN 38111-4658
(901) 246-7501
Mailing address
3364 POPLAR AVE STE 102F, MEMPHIS, TN 38111-4658
(901) 246-7501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1563
TN
Other
Enumeration date
01/10/2011
Last updated
05/10/2011
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