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Individual
MS. JENELLE INDELICATO
Active
Individual
MS. JENELLE INDELICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4005
MA
133V00000X
Registered Dietitian
86056317
MA
133VN1101X
Gerontological Nutrition Registered Dietitian
86056317
MA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
4005
MA
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
NULL
Other
Enumeration date
08/05/2020
Last updated
09/14/2021
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