Individual
JENNIFER MICHELLE BANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2111 RALEIGH CIR, HOLLISTER, CA 95023-5233
(831) 801-3872
Mailing address
2111 RALEIGH CIR, HOLLISTER, CA 95023-5233
(831) 801-3872
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724291
CA
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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