Individual
MS. JENNIFER MICHELLE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
918 LUCERNE TER, ORLANDO, FL 32806-1013
(407) 894-1444
(407) 894-3599
Mailing address
918 LUCERNE TER, ORLANDO, FL 32806-1013
(407) 894-1444
(407) 894-3599
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5204
FL
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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