Individual
JEAN L MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
256 PORTVIEW AVE APT B, NORFOLK, VA 23503-1520
(757) 589-4293
(833) 740-4130
Mailing address
256 PORTVIEW AVE APT B, NORFOLK, VA 23503-1520
(757) 589-4293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
959775
VA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
01/19/2007
Last updated
03/07/2024
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