Individual
JESSICA OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 MAIN ST, EPPING, NH 03042-2466
(603) 685-4268
Mailing address
11 IDYLLWOOD DR, BRENTWOOD, NH 03833-6640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0658
NH
Other
Enumeration date
07/16/2019
Last updated
03/31/2020
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