Individual
JENNIFER WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D, L.D.N
Contact information
Practice address
1638 FREDERICKSBURG LN, AURORA, IL 60503-3674
(847) 293-2480
Mailing address
1638 FREDERICKSBURG LN, AURORA, IL 60503-3674
(847) 293-2480
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004597
IL
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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