Individual
JENNIFER KAY RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1911 BRIDGESTONE DR, CORINTH, TX 76210-2192
(817) 368-4676
Mailing address
1911 BRIDGESTONE DR, CORINTH, TX 76210-2192
(817) 368-4676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81756
TX
Other
Enumeration date
04/09/2007
Last updated
01/26/2011
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