Individual
MS. JENNIFER MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7300 N. FRESNO STREET, FRESNO, CA 93720
(559) 448-4500
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
928402
CA
Other
Enumeration date
04/11/2012
Last updated
07/13/2015
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