Individual
JENNA LYNN HENSON MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 EDDY CREEK RD, WEED, CA 96094-9639
(510) 207-8817
Mailing address
4000 EDDY CREEK RD, WEED, CA 96094-9639
(510) 207-8817
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
914410
CA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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