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JESSICA MARCUS RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1104284207

Individual Registrant:
 JESSICA  MARCUS RD
Gender: F
Sole Proprietor

Location and contact information for practice:
412 COLUSA AVE  KENSINGTON, CA 94707-1211 US
Tel: 586-596-1242  Fax: --

Contact information for business:
412 COLUSA AVE  KENSINGTON, CA 94707-1211 US
Tel: 586-596-1242  Fax: --

Registration Information:
NPI: 1104284207
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
NY007206

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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