Individual
JANINE ELIZABETH PENHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2550 SAMARITAN DR, SUITE A, SAN JOSE, CA 95124-4104
(707) 337-2163
Mailing address
10645 CALLE MAR DE MARIPOSA APT 6113, SAN DIEGO, CA 92130-8718
(707) 337-2163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
21220047
FL
133V00000X
Registered Dietitian
Primary
910306
FL
Other
Enumeration date
05/31/2013
Last updated
05/15/2019
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