Individual
JENNIFER VITRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCN(C), MS, CNS, LDN
Contact information
Practice address
248 S DORGENOIS ST, NEW ORLEANS, LA 70119-6424
(504) 905-8663
(504) 555-0212
Mailing address
8922 BIRCH ST, NEW ORLEANS, LA 70118-1406
(504) 905-8663
(504) 555-0212
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX6027
MD
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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