Individual
JACLYN QUERIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3 CARLISLE RD, MILLER PLACE, NY 11764-1907
(631) 495-2159
Mailing address
3 CARLISLE RD, MILLER PLACE, NY 11764-1907
(631) 495-2159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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