Individual
MRS. JENNIFER M KORMENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
913 NW GARDEN VALLEY BLVD BLDG 71, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
913 NW GARDEN VALLEY BLVD BLDG 71, ROSEBURG, OR 97471-6523
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10183641
OR
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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