Organization
JENNIFER DELUCA NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DELUCA R.D. (OWNER)
(678) 978-7478
Entity
Organization
Contact information
Practice address
5175 STONEHAVEN VW, CUMMING, GA 30040-0575
(678) 978-7478
Mailing address
5175 STONEHAVEN VW, CUMMING, GA 30040-0575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003508
GA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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