Individual
JORDAN BRONKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4239 GREENBUSH AVE, SHERMAN OAKS, CA 91423-3908
(616) 460-9024
Mailing address
4239 GREENBUSH AVE, SHERMAN OAKS, CA 91423-3908
(616) 460-9024
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86061283
CA
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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