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Individual

MRS. JENNIFER TAVERAS

Active
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Individual

MRS. JENNIFER TAVERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.,CDN,CDE

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
2011-0516
NY
133V00000X
Registered Dietitian
Primary
005680-1
NY

Other

Enumeration date
08/16/2007
Last updated
09/20/2011
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