Individual
JESSICA JACKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2697 FLINT RIVER RD, LAPEER, MI 48446-9101
(734) 635-4900
Mailing address
2697 FLINT RIVER RD, LAPEER, MI 48446-9101
(734) 635-4900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
979085
MI
Other
Enumeration date
11/14/2014
Last updated
12/15/2014
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