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Individual
JENNIFER BEAZER
Active
Individual
JENNIFER BEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LD
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
79779
MT
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
79779
MT
133VN1006X
Metabolic Nutrition Registered Dietitian
D470
ID
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
79779
MT
Other
Enumeration date
01/20/2014
Last updated
01/29/2021
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