Most Relevant Information
Provider Data
| NPI Number: | 1003562745 |
| Provider Name: | JENNY CARR RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86059185 |
Most Important Dates
| Enumeration Date: | 02/22/2022 |
| Last Updated: | 02/22/2022 |
Provider Practice Location
68615 PEREZ RD STE B-17
CATHEDRAL CITY
CA
922347200
Practice Location Phone/Fax
| Phone: | 7607753688 |
| Fax: |
Provider Mailing Location
47614 CORTA HERRERA
INDIO
CA
922016876
Provider Mailing Phone/Fax
| Phone: | 7605744226 |
| Fax: |