Individual
JENNA LYNN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(800) 953-1009
(304) 697-2086
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
504
WV
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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