Individual
JENNIFER ANN DEBERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5000
Mailing address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5000
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1053751
CA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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