Individual
JENNIFER DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
5175 STONEHAVEN VW, CUMMING, GA 30040-0575
(678) 978-7478
Mailing address
5175 STONEHAVEN VW, CUMMING, GA 30040-0575
(678) 978-7478
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003508
GA
Other
Enumeration date
05/25/2010
Last updated
09/04/2014
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