| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA MARIE MANGINELLI | 1851027809 | 2022-07-30 |
Jessica Marie Manginelli is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851027809. Registration indicates Jessica Marie Manginelli is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Jessica Marie Manginelli RD |
| Practice Office Address | 5884 S IVANHOE AVE YPSILANTI, MI US |
| Practice Office Telephone | 8055090451 |
| Mailing Address | 5884 S IVANHOE AVE YPSILANTI, MI 481977112 US |
| Business Telephone | 8055090451 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 86294229
CA |