Individual
JESSICA L CARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CSSD LD/N
Contact information
Practice address
1 HUME DRIVE, HURLBURT FIELD, FL 32544
(808) 474-2698
Mailing address
2001 VICTOR WHARF ACCESS RD, PEARL CITY, HI 96782-3400
(808) 474-2698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86012244
TN
Other
Enumeration date
09/23/2016
Last updated
07/17/2019
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