Individual
MRS. JENNIFER LYNN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3030 NORTH ST, BEAUMONT, TX 77702-1433
(409) 236-5676
Mailing address
5678 LONGWOOD ST, BEAUMONT, TX 77707-1892
(409) 330-7441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84115
TX
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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