Individual
JENNA GOVERNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LD
Contact information
Practice address
28601 CHAGRIN BLVD STE 259, WOODMERE, OH 44122-4541
(657) 203-4358
Mailing address
6110 PHILLIPS RICE RD, CORTLAND, OH 44410-9678
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
278839
KY
133V00000X
Registered Dietitian
Primary
LD.09022
OH
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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