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JESSICA MARCUS RD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1104284207
Individual Registrant: JESSICA MARCUS RD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
412 COLUSA AVE KENSINGTON, CA 94707-1211 US
Tel: 586-596-1242 Fax: --
Tel: 586-596-1242 Fax: --
Contact information for business:
412 COLUSA AVE KENSINGTON, CA 94707-1211 US
Tel: 586-596-1242 Fax: --
Tel: 586-596-1242 Fax: --
Registration Information:
NPI: 1104284207
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | NY | 007206 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
