Individual
MRS. MARY BETH PENNINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD,LD/N
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(912) 573-4731
(912) 573-4229
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(912) 573-4731
(912) 573-4229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2733
FL
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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