Individual
MRS. JENNA M. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10 HIGH ST, SUITE 105, LEWISTON, ME 04240-7653
(207) 795-5710
Mailing address
120 MAIN ST STE 248, SACO, ME 04072-3527
(207) 450-3773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D11128
ME
Other
Enumeration date
10/12/2012
Last updated
04/05/2021
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