Individual
JESSICA JEANNE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N., LDN, CNSC
Contact information
Practice address
5555 N LAMAR BLVD, SUITE 125D, AUSTIN, TX 78751-1073
(512) 324-1891
Mailing address
5555 N LAMAR BLVD, SUITE 125D, AUSTIN, TX 78751-1073
(512) 324-1891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82776
TX
Other
Enumeration date
06/14/2011
Last updated
01/05/2015
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