Individual
MARY E JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3525 ENSIGN ROAD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
(360) 413-8865
Mailing address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
(360) 413-8865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001359
WA
Other
Enumeration date
01/23/2008
Last updated
09/16/2009
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