Individual
JACLYN DANIELLE LEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
42 CHESTNUT ST, BLOOMINGDALE, NJ 07403-1729
(973) 919-7330
Mailing address
5 BROTHERTON AVE, ROCKAWAY, NJ 07866-4801
(973) 919-7330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083824
NJ
Other
Enumeration date
08/19/2016
Last updated
10/18/2022
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