Individual
MRS. JACLYN EVA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
4800 S CROATAN HWY, NAGS HEAD, NC 27959-9704
(252) 449-7301
(252) 449-5825
Mailing address
4800 S CROATAN HWY, NAGS HEAD, NC 27959-9704
(252) 449-7301
(252) 449-5825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004102
NC
Other
Enumeration date
08/27/2014
Last updated
05/09/2017
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