Individual
MS. BARBARA S. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1323 W 3RD ST, PHDMC - RM 509, DAYTON, OH 45402-6714
(937) 225-4542
(937) 496-3071
Mailing address
1323 W 3RD ST, PHDMC - RM 509, DAYTON, OH 45402-6714
(937) 225-4542
(937) 496-3071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005826
AMERICAN DIABETES ASSOCIATION
—
Enumeration date
05/25/2010
Last updated
05/25/2010
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