Individual
MS. JENNIFER L HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
40 W BROWN RD, MESA, AZ 85201-3400
(314) 972-4615
(480) 833-9426
Mailing address
8441 W CROWN KING RD, TOLLESON, AZ 85353-3619
(314) 972-4615
(480) 833-9426
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
895245
AZ
Other
Enumeration date
01/26/2007
Last updated
09/02/2015
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