Individual
JENNA LYNN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2215 FULLER RD, ROOM C-204, ANN ARBOR, MI 48105-2303
(734) 845-5662
Mailing address
2215 FULLER RD, ROOM C-204, ANN ARBOR, MI 48105-2303
(734) 845-5662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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