Individual
MRS. JENNIFER MARIE DOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
961 MARCON BLVD, SUITE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
(610) 443-1685
Mailing address
961 MARCON BLVD, SUITE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
(610) 443-1685
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001283
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00774560
—
PA
01
—
2378865
AETNA ID #
PA
Enumeration date
06/02/2006
Last updated
05/08/2023
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