Individual
JEROMY APENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 SPRING AVE, DALLAS, TX 75210-1350
(214) 865-3153
Mailing address
6111 MEADOWCREST LN, SACHSE, TX 75048-3529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85811
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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