Individual
MRS. JENNIFER BETH KANUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
191 PLANE BANK RD, LILLY, PA 15938-5227
(814) 241-6163
Mailing address
191 PLANE BANK RD, LILLY, PA 15938-5227
(814) 241-6163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003743
PA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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