Individual
JENNIFER GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3820 W HAPPY VALLEY RD, #141-186, GLENDALE, AZ 85310-3289
(602) 770-7611
Mailing address
3820 W HAPPY VALLEY RD, #141-186, GLENDALE, AZ 85310-3289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86034638
CDR
—
Enumeration date
11/09/2016
Last updated
11/09/2016
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