Individual
JACQUELYN J HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
713 TROY SCHENECTADY RD, SUITE 218, LATHAM, NY 12110-2490
(518) 782-3839
(518) 782-3761
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3823
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005808
NY
Other
Enumeration date
08/31/2006
Last updated
09/24/2007
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