Individual
MRS. DEBRA JAYNE LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-5420
Mailing address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-5421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
08/06/2019
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