Individual
MS. THERESA M JEROMINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDOE
Contact information
Practice address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 895-9937
(401) 296-3998
Mailing address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 895-9937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00040
RI
133V00000X
Registered Dietitian
LDN7242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30844
BCBSRI
RI
Enumeration date
11/14/2006
Last updated
07/25/2024
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