Individual
JENNIFER LOPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5801
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10173220-4901
UT
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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