Individual
JENNIE MCCARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 440-6454
Mailing address
PO BOX 40613, ALBUQUERQUE, NM 87196-0613
(505) 440-6454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
453
NM
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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