Individual
JACLYN RACHEL WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
27 BARKER AVE APT 702, WHITE PLAINS, NY 10601-1563
(617) 991-6986
Mailing address
27 BARKER AVE APT 702, WHITE PLAINS, NY 10601-1563
(617) 991-6986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012380
NY
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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