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Individual

JENNIFER E TOMPKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD/N

Contact information

Practice address
6101 LAKE ELLENOR DR, ORLANDO, FL 32809-4616
(407) 858-1400
(407) 858-4637
Mailing address
6101 LAKE ELLENOR DR, ORLANDO, FL 32809-4616
(407) 858-1400
(407) 858-4637

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND 847
FL
133V00000X
Registered Dietitian
RDN 721028
FL

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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