Individual
JAMIE LEE SPADONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 544-1913
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 544-1913
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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