Organization
JPA WELLNESS CONSULTING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEVONA PHONSENA ANDERSON (WELLNESS PROFESSIONAL)
(443) 939-7675
Entity
Organization
Contact information
Practice address
1933 SAINT PAUL ST, BALTIMORE, MD 21218-6016
(917) 209-9509
Mailing address
1933 SAINT PAUL ST, BALTIMORE, MD 21218-6016
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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