Individual
JENNIFER BOOMHOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR, CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005602
NY
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
05/13/2014
Last updated
10/15/2024
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