Doctor Name: | MRS. JENNIFER JOY KLEIN |
NPI Number: | 1518388040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 897603 |
Business Practice Address: | 8718 Leona Ave Leona Valley, CA - 935517406 |
Business Phone Number: | 6616227049 |
Business Fax Number: | 6616227049 |
Mailing Address: | 8718 Leona Ave, LEONA VALLEY |
State: | CA |
Postal Code: | 935517406 |
Phone Number: | 6616227049 |
Fax Number: | 6616227049 |
NPI Enumeration Date: | 12/31/2013 |
NPI Last Update Date: | 12/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 897603 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |