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Individual

JORDAN DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CSP

Contact information

Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
Mailing address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
01077120
CA

Other

Enumeration date
07/12/2016
Last updated
07/12/2016
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