Individual
BRINA ROCHELLE JERGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3200 N DOBSON RD, BUILDING C; SUITE 113, CHANDLER, AZ 85224-9601
(602) 538-6852
(480) 491-5719
Mailing address
3200 N DOBSON RD, BUILDING C; SUITE 113, CHANDLER, AZ 85224-9601
(602) 538-6852
(480) 491-5719
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
844424
—
Other
Enumeration date
04/27/2007
Last updated
10/06/2015
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