Individual
JACLYN FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
80 PALOMINO LN, SUITE 101, BEDFORD, NH 03110-6447
(603) 518-5859
Mailing address
78 PERRY AVE, LYNNFIELD, MA 01940-1841
(781) 580-9311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0685
NH
Other
Enumeration date
10/25/2013
Last updated
06/12/2019
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