Provider Demographics
NPI:1104618560
Name:DELFINO, JENNA M (MS, RD)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:M
Last Name:DELFINO
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 ARAPAHO DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3205
Mailing Address - Country:US
Mailing Address - Phone:408-603-4835
Mailing Address - Fax:408-603-4835
Practice Address - Street 1:5843 ARAPAHO DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3205
Practice Address - Country:US
Practice Address - Phone:408-603-4835
Practice Address - Fax:408-603-4835
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered