Individual
MS. JENNIFER LEE GRUNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576-0130
(907) 749-4113
Mailing address
7708 E 20TH AVE, ANCHORAGE, AK 99504
(907) 843-1677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005509
REGISTERD DIETITIAN
—
Enumeration date
03/11/2010
Last updated
08/27/2021
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