Individual
JORDAN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN
Contact information
Practice address
19360 RINALDI ST # 364, NORTHRIDGE, CA 91326-1607
(818) 421-0207
Mailing address
19360 RINALDI ST # 364, NORTHRIDGE, CA 91326-1607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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