Individual
JENNA MARIE MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E LAS ANIMAS ST, COLORADO SPRINGS, CO 80903-4138
(719) 551-5282
Mailing address
1822 N EL PASO ST, COLORADO SPRINGS, CO 80907-7737
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
11/08/2022
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