Individual
JENNIFER LYNN RAUTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3128
Mailing address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2430
MA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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