Individual
MS. JACLYN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITION
Contact information
Practice address
3360 WAYNE SULLIVAN DR, PADUCAH, KY 42003
(270) 443-9474
(270) 443-9477
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016
KY
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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