Individual
JESSICA LYNN EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2920 CAMARILLO LN, VIRGINIA BEACH, VA 23456-1558
(904) 608-1068
Mailing address
2920 CAMARILLO LN, VIRGINIA BEACH, VA 23456-1558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
818706
CDR LICENSE
—
Enumeration date
11/10/2022
Last updated
11/10/2022
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