Individual
MRS. JENNIFER MARIE YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
8385 CREEDMOOR RD, RALEIGH, NC 27613-1385
(919) 847-8101
Mailing address
4115 HAMPSTEAD VILLAGE DR, DURHAM, NC 27703-6740
(919) 596-6052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001661
NC
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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