Individual
MISS JENNIFER RENEE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1020 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-4471
(830) 997-1312
Mailing address
21303 ENCINO COMMONS, APT 1703, SAN ANTONIO, TX 78259-2696
(325) 518-6627
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076885
REGISTERED DIETITIAN
TX
01
—
DT82237
LICENSED DIETITIAN
TX
Enumeration date
05/09/2013
Last updated
05/09/2013
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