Individual
JENNIFER LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 867-2050
Mailing address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 867-2050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07010
TX
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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