Individual
MS. JESSICA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
311 NORTH ST, WEST PITTSTON, PA 18643-2127
(570) 466-8319
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006948
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-
-
—
Enumeration date
11/30/2019
Last updated
11/30/2019
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