Individual
JENNA ZOGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
(251) 544-2188
Mailing address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
(251) 544-2188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86016642
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-1846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
1063439065
MAIN GROUP NPI PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
06/22/2015
Last updated
06/22/2015
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