Individual
MRS. JESSICA ANN UNANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1816 MIFFLIN ST, PHILADELPHIA, PA 19145-2929
(703) 901-2003
Mailing address
1816 MIFFLIN ST, PHILADELPHIA, PA 19145-2929
(703) 901-2003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006050
PA
Other
Enumeration date
04/27/2012
Last updated
07/07/2023
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