Individual
MRS. JENNIFER J AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
101 BODIN CIR, 60 MDTS/SGQD, TRAVIS AFB, CA 94535-1809
(707) 423-3669
Mailing address
540 BLARNEY CIR, VACAVILLE, CA 95688-8563
(707) 423-3669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/29/2008
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