Individual
JACQUELINE MARIE SLOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 OLD SUNRISE HWY, MASSAPEQUA, NY 11758-5545
(516) 881-9059
Mailing address
200 OLD SUNRISE HWY, MASSAPEQUA, NY 11758-5545
(516) 881-9059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86013533
NY
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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