Individual
MRS. SANDRA M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
320 W PRINCE RD, TUCSON, AZ 85705-3526
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86020648
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86020648
COMMISSION ON DIETETIC REGISTRATION
AZ
Enumeration date
03/10/2022
Last updated
01/30/2025
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