Individual
MS. JENNIFER LOUISE KOSLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Contact information
Practice address
5633 SOUTH 42ND STREET, PHOENIX, AZ 85040
(602) 363-4442
Mailing address
1849 E GUADALUPE RD, SUITE C101, PMB149, TEMPE, AZ 85283-3288
(602) 363-4442
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
863062
—
133V00000X
Registered Dietitian
Primary
863062
—
Other
Enumeration date
04/28/2008
Last updated
04/25/2009
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