Individual
JENNIFER AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1800 W HIBISCUS BLVD, MELBOURNE, FL 32901-2629
(702) 505-2423
(702) 258-3563
Mailing address
987 SANTA CRUZ RD, COCOA BEACH, FL 32931-3058
(702) 505-2423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
925322
WI
Other
Enumeration date
09/10/2010
Last updated
11/06/2023
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