Individual
JEFFERY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
60 MDG/SGQD, 101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3667
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1034480
—
Other
Enumeration date
01/07/2010
Last updated
11/04/2021
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