Individual
JENNA EHTESHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1157 S VINE ST, DENVER, CO 80210-1830
(740) 607-1354
Mailing address
1157 S VINE ST, DENVER, CO 80210-1830
(740) 607-1354
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86013688
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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