Individual
MRS. JENNA L WILTZER KARIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
34055 SOLON RD, SUITE 201, SOLON, OH 44139-2662
(440) 914-7840
(440) 914-7855
Mailing address
34055 SOLON RD, SUITE 201, SOLON, OH 44139-2662
(440) 914-7840
(440) 914-7855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1074622
OH
133V00000X
Registered Dietitian
7051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074622
REGISTERED DIETITIAN
OH
01
—
1144109
UNIVERSITY HOSPITALS EMPLOYEE ID
OH
01
—
7051
LICENCED
OH
Enumeration date
09/24/2013
Last updated
09/24/2013
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