Individual
MRS. JENNIFER MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3333 BURNET AVE # MLC5043, CINCINNATI, OH 45229-3026
(513) 636-6672
Mailing address
3333 BURNET AVE # MLC5043, CINCINNATI, OH 45229-3026
(513) 636-6672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.5549
OH
390200000X
Student in an Organized Health Care Education/Training Program
5549
OH
Other
Enumeration date
07/13/2018
Last updated
06/10/2019
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