JENNIFER SOUTHARD

EDMOND, OK
NPI1093087355
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1720)
Enumeration Date2012-02-02
Last Update Date2022-03-03
Business Address
Mrs. JENNIFER SOUTHARD MS, RD/LD
3120 S BOULEVARD STE 127
EDMOND, OK 73013-5308
Phone number: 405-960-3120
Mailing Address
Mrs. JENNIFER SOUTHARD MS, RD/LD
3126 S BOULEVARD STE 127
EDMOND, OK 73013-5308
Phone number: 405-960-3120