Individual
JENA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
22 WILLOW RD, QUEENSBURY, NY 12804-1238
(518) 222-3103
Mailing address
22 WILLOW RD, QUEENSBURY, NY 12804-1238
(518) 222-3103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008369
NY
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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