Individual
JENNIFER REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Contact information
Practice address
8303 EDGEMOOR PL, AUSTIN, TX 78749-3704
(512) 296-9034
Mailing address
8303 EDGEMOOR PL, AUSTIN, TX 78749-3704
(512) 296-9034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT07531
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT07531
TX
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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