Individual
JEANNE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 USF MAGNOLIA DR, NUTHR-MOD C, TAMPA, FL 33612-9416
(813) 745-2173
Mailing address
12902 USF MAGNOLIA DR, NUTHR-MOD C, TAMPA, FL 33612-9416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1962
FL
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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