Individual
MRS. JENNIFER CHAMPION HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1250 E. MARSHALL STREET, CLINICAL NUTRITION, RICHMOND, VA 23298-0294
(804) 828-0970
(804) 628-0921
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
(804) 828-2841
(804) 628-0783
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
09/09/2008
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