Organization
MY NUTRITION STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L HAGENDORF MS, RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(210) 320-0979
Entity
Organization
Contact information
Practice address
4940 BROADWAY ST, STE 118, SAN ANTONIO, TX 78209-5747
(210) 320-0979
(866) 533-2028
Mailing address
305 E MAGNOLIA AVE, SAN ANTONIO, TX 78212-3010
(210) 320-0979
(866) 533-2028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80988
TX
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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