Jennifer Wible, RD
Dietitian, Registered in Manchaca, TX. Individual provider (NPI-1).
NPI number1699320960
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1699320960
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Wible
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2019
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1309 Goldilocks LnManchaca, TX 78652-4532
Phone 512-522-6136
Mailing address
1309 Goldilocks LnManchaca, TX 78652-4532
Phone 404-825-7331 · Fax 866-533-2028
Other practice locations
4940 Broadway St Ste 217
San Antonio, TX 78209-5732
San Antonio, TX 78209-5732
Phone 210-320-0979 · Fax 866-533-2028
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