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Susan Sheidler Rysedorph, R.D., L.D.N.

Dietitian, Registered in Cordova, TN. Individual provider (NPI-1).

NPI number1477762003
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1477762003
Entity type
Individual (NPI-1)
Name
Ms. Susan Sheidler Rysedorph
Credential
R.D., L.D.N.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 21, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredLDN0000000978TNYes

Practice location

310 Germantown Bend Cv
Suite 101
Cordova, TN 38018-4267

Phone 901-759-9337 · Fax 901-759-7967

Mailing address

8997 Shady Leaf Cv
Cordova, TN 38018-7414

Phone 901-759-0399

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