Individual
JENNIFER HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
3100 DOUGLAS BLVD STE 204, ROSEVILLE, CA 95661-3868
(916) 774-8885
(916) 774-8818
Mailing address
3813 CALVERHALL WAY, ROCKLIN, CA 95677-3254
(916) 735-6952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
850539
CA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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