Long, Jenna Kaitlin

Long, Jenna Kaitlin is an sole proprietor health care provider with primary practice located at 1100 Quail St Ste 110 , Newport Beach CA 92660-2779. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Long, Jenna Kaitlin can be contacted via phone (805) 217-9856.

Contact Information

Primary practice address
1100 Quail St Ste 110 Newport Beach CA 92660-2779
Phone: (805) 217-9856
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 86080469 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86080469 California

Profile Details

NPI number 1659882975
LBN Legal business name Long, Jenna Kaitlin
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2017
Last updated Oct 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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