Individual
MRS. JENNIFER L FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES, TROY, NY 12180-2466
(518) 271-3905
Mailing address
229 THIMBLEBERRY RD, BALLSTON SPA, NY 12020-4385
(518) 899-5445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922862
NY
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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