Individual
JENNIFER ANN HOLDERNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6503
(760) 323-6347
Mailing address
77777 COUNTRY CLUB DR, APT. 76, PALM DESERT, CA 92211-0452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
951209
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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