CANDISE JORDAN FENTON

COLORADO SPRINGS, CO
NPI1720369085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AL  1061751)
Enumeration Date2011-08-31
Last Update Date2011-08-31
Business Address
-- CANDISE JORDAN FENTON R.D.
2506 BALBOA ST
COLORADO SPRINGS, CO 80907-6934
Phone number: 719-425-5793
Mailing Address
-- CANDISE JORDAN FENTON R.D.
2506 BALBOA ST
COLORADO SPRINGS, CO 80907-6934
Phone number:
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