Individual
JORGE LUIS MAGANA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
8854 MOTTER LN, MIAMISBURG, OH 45342-5469
(703) 217-7489
Mailing address
8854 MOTTER LN, MIAMISBURG, OH 45342-5469
(703) 217-7489
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09421
OH
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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