Individual
MRS. JENNIFER RENE JUSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-7054
(510) 248-7057
Mailing address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-7054
(510) 248-7057
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
956895
CDR ID NUMBE
CA
Enumeration date
01/26/2007
Last updated
07/10/2007
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