Individual
MRS. JANA OSBORNE MASSENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3620 GREEN VALLEY RD, SOUTHSIDE, AL 35907-6513
(256) 413-7087
Mailing address
3620 GREEN VALLEY ROAD, SOUTHSIDE, AL 35907-6513
(256) 413-7087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1161
AL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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