Individual
MS. JENNA MARIE BRUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6124 E BROWN RD STE 102, MESA, AZ 85205-4959
(480) 809-6513
Mailing address
7340 E LEGACY BLVD UNIT H2009, SCOTTSDALE, AZ 85255-6529
(616) 298-6835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116407
MI
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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