Individual
JACQUELINE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
15 ALBEMARLE RD, NEWTON, MA 02460-1105
(508) 982-1137
Mailing address
13 WILLIAM ST, MEDFORD, MA 02155-6427
(508) 982-1137
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808456
MA
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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