Jennifer L Vargas, RD
Dietitian, Registered in Grottoes, VA. Individual provider (NPI-1).
NPI number1619751237
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1619751237
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer L Vargas
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2023
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DX3568 | MD | Yes |
| 133V00000X | Dietitian, Registered | DN006621 | PA | |
| 133V00000X | Dietitian, Registered | ND10169 | FL | |
| 133V00000X | Dietitian, Registered | DI200001391 | DC | |
| 133V00000X | Dietitian, Registered | 164009400 | IL |
Practice location
Po Box 1055Grottoes, VA 24441-1055
Phone 401-480-6963
Mailing address
1217 Flatt LnGrottoes, VA 24441-2420
Phone 401-480-6963
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