Individual
JENNIFER NANI GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
175 N JACKSON AVE, SUITE #209, SAN JOSE, CA 95116-1909
(510) 320-3438
Mailing address
175 N JACKSON AVE, SUITE #209, SAN JOSE, CA 95116-1909
(510) 320-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1079703
CA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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