Individual
JENNIFER LYNN HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7378
Mailing address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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