Individual
MS. JENNIFER L GREBENC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN LD
Contact information
Practice address
6284 FOXWOOD CT, MENTOR, OH 44060-2113
(440) 665-8853
Mailing address
6284 FOXWOOD CT, MENTOR, OH 44060-2113
(440) 665-8853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD 3060
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303828
—
OH
Enumeration date
04/11/2006
Last updated
11/12/2020
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