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Individual
JESSICA THORNTON
Active
Individual
JESSICA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSP, CLC, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37001291A
IN
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
NULL
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
NULL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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