Individual
MS. JENNIFER MICHELLE SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITAN
Contact information
Practice address
1715 AVE PONCE DE LEON, NUTRITION DEPT., SAN JUAN, PR 00909-1958
(787) 758-2000
Mailing address
M8 CALLE LIRIOS, JARDINES DE BORINQUEN, CAROLINA, PR 00985-4227
(787) 439-4692
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1468
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1468
DIETITIAN'S LICENSE
PR
Enumeration date
09/30/2010
Last updated
09/30/2010
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