Individual
MRS. JENNIFER DICKSON LETENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC - BARIATIC DIETICIAN, LEBANON, NH 03756-1000
(603) 650-7913
Mailing address
1 MEDICAL CENTER DR, DHMC - BARIATIC DIETICIAN, LEBANON, NH 03756-1000
(603) 650-7913
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
63
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240008
CIGNA
NH
01
—
27Y005022NH01
ANTHEM
NH
01
—
7126465
AETNA
NH
Enumeration date
11/21/2006
Last updated
08/04/2015
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