Individual provider · NPI-1
Jill M Adams, DTR
Dietetic Technician, Registered · Gainesville, FL
NPI number1356445480
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1356445480
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jill M Adams
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | 692361 | FL | Yes |
Practice location
1601 Sw Archer RdGainesville, FL 32608-1135
Phone 352-376-1611
Mailing address
526 Kings CtGainesville, FL 32607-5716
Phone 352-331-1085
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