Individual
MRS. JENNA MARIE BECKER-CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4805 BAY HERON PL, TAMPA, FL 33616-2948
(909) 731-9936
Mailing address
5220 CARTILLA AVE, RANCHO CUCAMONGA, CA 91737-1756
(909) 731-9936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01004023
CA
133V00000X
Registered Dietitian
ND1405
FL
Other
Enumeration date
11/17/2010
Last updated
06/06/2014
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