Individual
JENNIFER LEE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., CDE
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2228
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
807537
CA
Other
Enumeration date
12/21/2006
Last updated
01/11/2022
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