Individual
JENNIFER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MICKEY GILLEY AVE, FERRIDAY, LA 71334-2619
(318) 757-2624
Mailing address
905 MICKEY GILLEY AVE, FERRIDAY, LA 71334-2619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
05/23/2017
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