Individual
MRS. JENNIFER KRASEVEC FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 922-3522
Mailing address
3508 BLACKBERRY LN SE, CONYERS, GA 30094-3529
(770) 313-2188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003195
GA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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