Individual
JENNIFER WITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSACN
Contact information
Practice address
122 N ILLINOIS AVE, LEAGUE CITY, TX 77573-2425
(832) 580-2046
Mailing address
1813 MOJAVE TRL, LEAGUE CITY, TX 77573-4657
(318) 332-0195
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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