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Organization
DO LIFE WITH JACKIE, LTD. CO.
Active
Organization
DO LIFE WITH JACKIE, LTD. CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JUDIE MS, RD, LD (DIETITIAN/OWNER)
(817) 681-9130
Entity
Organization
Contact information
Practice address
3700 9TH AVE N, TEXAS CITY, TX 77590-6549
(817) 681-9130
Mailing address
601 TREMONT ST # 8051, GALVESTON, TX 77550-1986
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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