Jenna Widman

NPI #1003531815 in Rocky River, Ohio

Provider Information

NPI Number: 1003531815
Entity Type: Individual
Name: Jenna Widman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 5, 2022
Last Updated: Oct 5, 2022

Practice Location

Address: 1551 PROSPECT AVE
City: Rocky River
State: Ohio
ZIP Code: 44116-1932
Phone: (719) 232-2087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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