Individual
JENNIFER P LEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2569 WOOD PARK BLVD, CONROE, TX 77304-2196
(936) 443-5371
Mailing address
2569 WOOD PARK BLVD, CONROE, TX 77304-2196
(936) 443-5371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80210
TX
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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