Individual
JENNA OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10825 W MCDOWELL RD STE 220, AVONDALE, AZ 85392-5228
(623) 748-1291
Mailing address
18001 N 79TH AVE STE A12, GLENDALE, AZ 85308-8398
(623) 399-6825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292860
AZ
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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