| Doctor Name: | MISS JENNIFER LYNN MAHNKE |
| NPI Number: | 1477563112 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S, R.D, L.D |
| License Number: | 5340 |
| Business Practice Address: | 10701 East Blvd Cleveland, OH - 441061702 |
| Business Phone Number: | 2167913800 |
| Business Fax Number: | 2164213014 |
| Mailing Address: | 4065 W 214th St, FAIRVIEW PARK |
| State: | OH |
| Postal Code: | 441261258 |
| Phone Number: | 2162252610 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 5340 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |