Individual
JENNIFER BUQUO MADZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDE, BC
Contact information
Practice address
725 GLENWOOD DR STE E588, CHATTANOOGA, TN 37404-1176
(423) 206-9025
(423) 206-9026
Mailing address
725 GLENWOOD DR STE E588, CHATTANOOGA, TN 37404-1176
(423) 206-9025
(423) 206-9026
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001224
TN
Other
Enumeration date
10/22/2014
Last updated
01/25/2022
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