JENNIFER ROSE

FORT WAYNE, IN
NPI1063052264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37001996A)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
JENNIFER ROSE RD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
JENNIFER ROSE RD
1606 MILLENNIUM XING
FORT WAYNE, IN 46845-9198
Phone number: