Individual
MRS. JENNIFER L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CSR, LDN
Contact information
Practice address
121 N COMPASS WAY APT 431, DANIA BEACH, FL 33004-2387
(520) 240-7552
(575) 404-7707
Mailing address
121 N COMPASS WAY APT 431, DANIA BEACH, FL 33004-2387
(520) 240-7552
(575) 404-7707
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1082987
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082987
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
10/11/2017
Last updated
11/27/2024
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