Individual
JESSICA GORDILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, RDN, CDE
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
806140
NJ
133V00000X
Registered Dietitian
Primary
806140
NJ
133VN1006X
Metabolic Nutrition Registered Dietitian
806140
NJ
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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