Individual
JENNA YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 KING OF PRUSSIA RD, RADNOR, PA 19087-4440
(610) 527-9360
Mailing address
320 KING OF PRUSSIA RD, RADNOR, PA 19087-4440
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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