MEDICARE: JENNA M DELFINO MS, RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1104618560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA M DELFINO MS, RD

Provider Business Mailing Address
First Line	:	5843 ARAPAHO DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-3205
Country	:	US
Telephone Number	:	408-603-4835
Fax Number	:	408-603-4835

Provider Business Practice Location Address
First Line	:	5843 ARAPAHO DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-3205
Country	:	US
Telephone Number	:	408-603-4835
Fax Number	:	408-603-4835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

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