JENNIFER KRASEVEC FORD

CONYERS, GA
NPI1750513529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD003195)
Enumeration Date2009-08-12
Last Update Date2009-08-12
Business Address
Mrs. JENNIFER KRASEVEC FORD RD
2215 EXCHANGE PL SE
CONYERS, GA 30013-6723
Phone number: 770-922-3522
Mailing Address
Mrs. JENNIFER KRASEVEC FORD RD
3508 BLACKBERRY LN SE
CONYERS, GA 30094-3529
Phone number: 770-313-2188