Individual
ELISE FENSTERMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5150 TIMUQUANA RD, JACKSONVILLE, FL 32210-8959
(904) 253-2359
Mailing address
900 UNIVERSITY BLVD N, #606, JACKSONVILLE, FL 32211-9230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5534
FL
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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