Individual
MRS. JESSICA DENEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
1829 FIRESTONE COURT, AUBURN, AL 36830
(334) 590-5904
(334) 209-0613
Mailing address
1829 FIRESTONE CT, AUBURN, AL 36830-2597
(334) 590-5904
(334) 209-0613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1645
AL
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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