Individual
JENNIFER CHRISTINE COUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MOTOR ST, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2194
(214) 456-6287
Mailing address
1014 LOWNDES LN, WYLIE, TX 75098-6945
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80303
TX
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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