Individual
MRS. JENNIFER LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-5193
Mailing address
PO BOX 88, SUMMITVILLE, IN 46070-0088
(765) 536-9128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001416A
IN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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