Individual
JENNIFER BORNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15531 BOWSPRIT LN, HOUSTON, TX 77062-3504
(832) 541-6317
Mailing address
15531 BOWSPRIT LN, HOUSTON, TX 77062-3504
(832) 541-6317
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/15/2016
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