Individual
JESSICA MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
412 COLUSA AVE, KENSINGTON, CA 94707-1211
(586) 596-1242
Mailing address
412 COLUSA AVE, KENSINGTON, CA 94707-1211
(586) 596-1242
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007206
NY
Other
Enumeration date
02/03/2016
Last updated
02/06/2019
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