Individual
MS. JILL M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
526 KINGS CT, GAINESVILLE, FL 32607-5716
(352) 331-1085
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
692361
FL
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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