Individual
MS. JENNIFER MARIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7922 DAY CREEK BLVD, APT 3308, RANCHO CUCAMONGA, CA 91739-8584
(909) 967-4435
Mailing address
7922 DAY CREEK BLVD, APT. 3308, RANCHO CUCAMONGA, CA 91739-8584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01009219
CA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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