Individual
JULIE A JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
57 COOLIDGE AVE, WATERTOWN, MA 02472
(617) 923-2255
(617) 812-8016
Mailing address
57 COOLIDGE AVE, WATERTOWN, MA 02472-2802
(617) 923-2255
(617) 812-8016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3653
MA
Other
Enumeration date
08/15/2014
Last updated
06/16/2018
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