Individual
JACQUELINE J CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, LDN
Contact information
Practice address
308 HAZARD AVE, ENFIELD, CT 06082-4613
(860) 698-0656
(860) 929-0858
Mailing address
39 CONCORD TER, SOMERS, CT 06071-1907
(413) 854-1277
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/10/2023
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