Individual
MRS. JACKLYN YACENDA RANALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
80 WARREN RD, WEST ORANGE, NJ 07052-1623
(973) 714-9199
Mailing address
80 WARREN RD, WEST ORANGE, NJ 07052-1623
(973) 714-9199
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
06/12/2022
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