Individual
JESSIE BALDWIN HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD
Contact information
Practice address
1031 HIDEAWAY LN APT 108, INDIAN LAND, SC 29707-6090
(803) 669-3978
Mailing address
1031 HIDEAWAY LN APT 108, INDIAN LAND, SC 29707-6090
(803) 669-3978
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.010291
IL
133V00000X
Registered Dietitian
L007656
NC
133V00000X
Registered Dietitian
Primary
LRD.2161.RD
SC
Other
Enumeration date
03/18/2020
Last updated
07/05/2024
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