Individual
JESSICA MASCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, LN
Contact information
Practice address
536 BECKWITH AVE, CLAYTON, NC 27527-4290
(651) 303-5081
Mailing address
536 BECKWITH AVE, CLAYTON, NC 27527-4290
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU000007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NU000007
N/A
NC
Enumeration date
07/10/2022
Last updated
07/10/2022
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