Individual
JENNIFER LYNN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
951 S BEACH BLVD UNIT J1090, LA HABRA, CA 90631-1689
(562) 266-4928
(562) 309-8072
Mailing address
951 S BEACH BLVD UNIT J1090, LA HABRA, CA 90631-1689
(562) 266-4928
(562) 309-8072
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
09/03/2025
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