Individual
MRS. JENNIFER LYNN GREGOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6625 NETWORK WAY STE 100, INTECH 11, INDIANAPOLIS, IN 46278-0007
(317) 275-7010
(317) 275-7012
Mailing address
6625 NETWORK WAY STE 100, INTECH 11, INDIANAPOLIS, IN 46278-0007
(317) 275-7010
(317) 275-7012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
913931
IN
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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