Individual
MRS. JENNIFER NICOLE HATHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 RALEIGH ST, GLENDALE, CA 91205-1813
(619) 990-5035
Mailing address
1020 RALEIGH ST, GLENDALE, CA 91205-1813
(619) 990-5035
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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