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Individual

MS. JACINDA B. ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1860 CHADWICK DR, SUITE 150, JACKSON, MS 39204-3463
(601) 376-1681
(601) 376-2491
Mailing address
1860 CHADWICK DR, SUITE 150, JACKSON, MS 39204-3463
(601) 376-1681
(601) 376-2491

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
D1074
MS

Other

Enumeration date
08/15/2007
Last updated
03/03/2010
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